Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.54 / $2,877.00 / $4,933.00	Facility		$979.54	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.01 / $979.54 / $1,017.22	Professional		$689.01	$979.54	$1,017.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,157.49 / $3,705.97 / $5,021.00	Facility		$3,157.49	$3,705.97	$5,021.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.02 / $1,112.21 / $1,931.74	Professional		$199.02	$1,112.21	$1,931.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.38 / $897.26 / $1,626.28	Professional		$564.38	$897.26	$1,626.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $774.86 / $2,877.00 / $4,933.00	Facility		$774.86	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $767.60 / $852.72 / $1,263.64	Professional		$767.60	$852.72	$1,263.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $532.50 / $887.08	Professional		$68.50	$532.50	$887.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $768.29 / $914.63 / $1,242.71	Professional		$768.29	$914.63	$1,242.71