Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $932.94 / $4,933.00 / $5,757.00	Facility		$932.94	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.62 / $932.94 / $968.82	Professional		$659.62	$932.94	$968.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,968.13 / $5,831.13 / $7,900.25	Facility		$4,968.13	$5,831.13	$7,900.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.24 / $1,161.84 / $1,825.75	Professional		$210.24	$1,161.84	$1,825.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.37 / $808.96 / $1,591.92	Professional		$536.37	$808.96	$1,591.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $704.50 / $4,933.00 / $5,757.00	Facility		$704.50	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $704.50 / $792.82 / $1,157.71	Professional		$704.50	$792.82	$1,157.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $522.40 / $868.22	Professional		$68.50	$522.40	$868.22
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 $726.03 / $847.16 / $1,113.97	Professional		$726.03	$847.16	$1,113.97