Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.69 / $4,933.00 / $5,757.00	Facility		$857.69	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $623.30 / $843.94 / $1,045.00	Professional		$623.30	$843.94	$1,045.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,057.52 / $4,729.18 / $6,407.29	Facility		$4,057.52	$4,729.18	$6,407.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $701.95 / $1,381.97	Professional		$149.16	$701.95	$1,381.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.71 / $1,058.71 / $1,268.08	Professional		$1,058.71	$1,058.71	$1,268.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $876.35 / $905.47 / $5,757.00	Facility		$876.35	$905.47	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $636.98 / $876.35 / $1,162.00	Professional		$636.98	$876.35	$1,162.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.99 / $391.10 / $654.84	Professional		$67.99	$391.10	$654.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $7,500.00 / $10,556.00	Facility		$3,700.00	$7,500.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $685.84 / $892.13 / $1,119.48	Professional		$685.84	$892.13	$1,119.48