Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.46 / $4,112.00 / $4,933.00	Facility		$993.46	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.65 / $876.99 / $1,246.98	Professional		$705.65	$876.99	$1,246.98
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 $224.20 / $1,185.69 / $1,867.47	Professional		$224.20	$1,185.69	$1,867.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.79 / $858.97 / $1,664.34	Professional		$574.79	$858.97	$1,664.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $805.48 / $4,112.00 / $4,933.00	Facility		$805.48	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $742.27 / $886.02 / $1,249.18	Professional		$742.27	$886.02	$1,249.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $517.38 / $910.67	Professional		$68.50	$517.38	$910.67
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 $769.24 / $926.03 / $1,271.95	Professional		$769.24	$926.03	$1,271.95