Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.94 / $4,933.00 / $5,757.00	Facility		$911.94	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.04 / $911.94 / $947.01	Professional		$641.04	$911.94	$947.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,055.63 / $3,586.41 / $4,859.02	Facility		$3,055.63	$3,586.41	$4,859.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.63 / $1,031.79 / $1,873.51	Professional		$184.63	$1,031.79	$1,873.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.04 / $836.68 / $1,512.59	Professional		$524.04	$836.68	$1,512.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $724.73 / $4,933.00 / $5,757.00	Facility		$724.73	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $713.30 / $797.20 / $1,181.06	Professional		$713.30	$797.20	$1,181.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $499.91 / $839.64	Professional		$68.50	$499.91	$839.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $6,649.00 / $8,911.00	Facility		$2,500.00	$6,649.00	$8,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $719.59 / $848.14 / $1,140.22	Professional		$719.59	$848.14	$1,140.22