Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $946.10 / $4,933.00 / $6,906.00	Facility		$946.10	$4,933.00	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.34 / $836.06 / $954.05	Professional		$693.34	$836.06	$954.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,366.83 / $5,097.41 / $6,944.08	Facility		$4,366.83	$5,097.41	$6,944.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.75 / $836.68 / $1,326.60	Professional		$202.75	$836.68	$1,326.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $709.87 / $803.09 / $1,574.92	Professional		$709.87	$803.09	$1,574.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $846.93 / $4,933.00 / $6,906.00	Facility		$846.93	$4,933.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $762.80 / $858.93 / $1,262.14	Professional		$762.80	$858.93	$1,262.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.98 / $473.35 / $890.91	Professional		$138.98	$473.35	$890.91
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,141.70 / $15,441.57	Facility		$4,635.00	$10,141.70	$15,441.57
United Facility/Professional Professional Modifier Low / Median / High Price $853.81 / $986.98 / $1,293.07	Professional		$853.81	$986.98	$1,293.07