Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.49 / $4,112.00 / $4,933.00	Facility		$886.49	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $623.23 / $886.49 / $920.59	Professional		$623.23	$886.49	$920.59
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 $192.85 / $1,060.21 / $1,768.90	Professional		$192.85	$1,060.21	$1,768.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.38 / $808.20 / $1,472.62	Professional		$510.38	$808.20	$1,472.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $716.40 / $4,112.00 / $4,933.00	Facility		$716.40	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $694.98 / $788.04 / $1,146.94	Professional		$694.98	$788.04	$1,146.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $460.38 / $784.12	Professional		$68.56	$460.38	$784.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $6,649.00 / $8,911.00	Facility		$2,500.00	$6,649.00	$8,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $700.74 / $819.86 / $1,111.75	Professional		$700.74	$819.86	$1,111.75