Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.63 / $4,112.00 / $4,933.00	Facility		$783.63	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.29 / $783.63 / $848.93	Professional		$582.29	$783.63	$848.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,322.33 / $1,532.81 / $2,088.11	Facility		$1,322.33	$1,532.81	$2,088.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.08 / $1,107.81 / $1,643.33	Professional		$176.08	$1,107.81	$1,643.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.97 / $771.18 / $1,372.93	Professional		$474.97	$771.18	$1,372.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $706.24 / $4,112.00 / $4,933.00	Facility		$706.24	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $706.24 / $740.52 / $1,006.73	Professional		$706.24	$740.52	$1,006.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $548.95 / $808.42	Professional		$65.66	$548.95	$808.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $709.14 / $836.01 / $1,125.28	Professional		$709.14	$836.01	$1,125.28