Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.26 / $4,933.00 / $4,933.00	Facility		$979.26	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $652.04 / $979.26 / $1,016.92	Professional		$652.04	$979.26	$1,016.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,553.23 / $4,147.68 / $5,650.29	Facility		$3,553.23	$4,147.68	$5,650.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.24 / $750.32 / $1,925.93	Professional		$196.24	$750.32	$1,925.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $673.37 / $957.01 / $1,465.88	Professional		$673.37	$957.01	$1,465.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $807.35 / $4,933.00 / $4,933.00	Facility		$807.35	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $807.35 / $883.69 / $1,253.91	Professional		$807.35	$883.69	$1,253.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.99 / $542.41 / $925.10	Professional		$67.99	$542.41	$925.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $4,056.00 / $6,036.00	Facility		$1,713.00	$4,056.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $803.86 / $931.98 / $1,250.39	Professional		$803.86	$931.98	$1,250.39