Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $922.78 / $4,112.00 / $4,933.00	Facility		$922.78	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.39 / $922.72 / $958.27	Professional		$648.39	$922.72	$958.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,624.89 / $4,254.56 / $5,764.25	Facility		$3,624.89	$4,254.56	$5,764.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $1,098.55 / $1,895.00	Professional		$186.76	$1,098.55	$1,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.01 / $839.29 / $1,529.92	Professional		$530.01	$839.29	$1,529.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $735.31 / $4,112.00 / $4,933.00	Facility		$735.31	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $721.63 / $808.84 / $1,195.86	Professional		$721.63	$808.84	$1,195.86
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 $4,635.00 / $9,143.00 / $12,767.00	Facility		$4,635.00	$9,143.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $724.93 / $860.46 / $1,174.59	Professional		$724.93	$860.46	$1,174.59