Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.41 / $2,877.00 / $4,933.00	Facility		$941.41	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.34 / $869.29 / $977.62	Professional		$637.34	$869.29	$977.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,414.54 / $5,181.37 / $7,019.93	Facility		$4,414.54	$5,181.37	$7,019.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.76 / $907.12 / $1,303.99	Professional		$192.76	$907.12	$1,303.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.70 / $824.67 / $1,696.60	Professional		$549.70	$824.67	$1,696.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $759.69 / $2,877.00 / $4,933.00	Facility		$759.69	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $723.48 / $844.80 / $1,148.14	Professional		$723.48	$844.80	$1,148.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $620.74 / $945.31	Professional		$65.66	$620.74	$945.31
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 $750.84 / $874.05 / $1,227.88	Professional		$750.84	$874.05	$1,227.88