Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $997.47 / $4,112.00 / $4,933.00	Facility		$997.47	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.72 / $997.47 / $1,035.83	Professional		$721.72	$997.47	$1,035.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,330.37 / $5,082.58 / $6,886.09	Facility		$4,330.37	$5,082.58	$6,886.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.19 / $1,013.45 / $2,071.96	Professional		$204.19	$1,013.45	$2,071.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.02 / $1,044.71 / $1,727.61	Professional		$587.02	$1,044.71	$1,727.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $962.85 / $4,112.00 / $4,933.00	Facility		$962.85	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $785.56 / $962.85 / $1,353.56	Professional		$785.56	$962.85	$1,353.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $554.15 / $915.27	Professional		$68.56	$554.15	$915.27
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 $857.85 / $1,088.38 / $1,470.12	Professional		$857.85	$1,088.38	$1,470.12