Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.77 / $2,877.00 / $4,933.00	Facility		$813.77	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.86 / $813.77 / $845.07	Professional		$572.86	$813.77	$845.07
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 $165.76 / $1,084.54 / $1,681.96	Professional		$165.76	$1,084.54	$1,681.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.60 / $776.87 / $1,354.00	Professional		$469.60	$776.87	$1,354.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $654.10 / $2,877.00 / $4,933.00	Facility		$654.10	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $638.26 / $719.51 / $1,047.46	Professional		$638.26	$719.51	$1,047.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $443.53 / $752.70	Professional		$68.56	$443.53	$752.70
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 $641.94 / $784.30 / $1,035.50	Professional		$641.94	$784.30	$1,035.50