Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.88 / $4,933.00 / $4,933.00	Facility		$941.88	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $661.65 / $940.48 / $978.10	Professional		$661.65	$940.48	$978.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,367.76 / $3,952.76 / $5,355.36	Facility		$3,367.76	$3,952.76	$5,355.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.96 / $1,064.44 / $1,869.43	Professional		$180.96	$1,064.44	$1,869.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.30 / $865.58 / $1,560.73	Professional		$540.30	$865.58	$1,560.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $699.75 / $941.88 / $4,933.00	Facility		$699.75	$941.88	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $699.75 / $804.71 / $1,162.99	Professional		$699.75	$804.71	$1,162.99
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 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $733.74 / $872.07 / $1,129.49	Professional		$733.74	$872.07	$1,129.49