Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.49 / $2,877.00 / $4,933.00	Facility		$895.49	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.17 / $841.23 / $929.93	Professional		$583.17	$841.23	$929.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,993.31 / $5,860.67 / $7,940.28	Facility		$4,993.31	$5,860.67	$7,940.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.99 / $675.50 / $1,144.92	Professional		$181.99	$675.50	$1,144.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.08 / $762.59 / $1,481.26	Professional		$517.08	$762.59	$1,481.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $665.25 / $2,877.00 / $4,933.00	Facility		$665.25	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $665.25 / $752.28 / $1,088.39	Professional		$665.25	$752.28	$1,088.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $551.95 / $845.90	Professional		$65.50	$551.95	$845.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,702.00 / $10,652.00	Facility		$3,500.00	$8,702.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $656.63 / $773.73 / $1,128.06	Professional		$656.63	$773.73	$1,128.06