Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.33 / $4,933.00 / $4,933.00	Facility		$975.33	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.47 / $923.21 / $983.53	Professional		$692.47	$923.21	$983.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,728.94 / $4,352.79 / $5,929.70	Facility		$3,728.94	$4,352.79	$5,929.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.02 / $756.20 / $1,367.59	Professional		$209.02	$756.20	$1,367.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $732.80 / $852.96 / $1,623.44	Professional		$732.80	$852.96	$1,623.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $876.06 / $4,933.00 / $4,933.00	Facility		$876.06	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $876.06 / $885.86 / $1,240.20	Professional		$876.06	$885.86	$1,240.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.98 / $505.57 / $932.71	Professional		$138.98	$505.57	$932.71
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,849.00 / $9,202.00	Facility		$3,296.00	$7,849.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $880.14 / $1,030.66 / $1,336.25	Professional		$880.14	$1,030.66	$1,336.25