Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.98 / $4,112.00 / $4,933.00	Facility		$988.98	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.04 / $987.68 / $1,027.02	Professional		$695.04	$987.68	$1,027.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,313.97 / $6,237.04 / $8,450.20	Facility		$5,313.97	$6,237.04	$8,450.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.71 / $1,174.73 / $1,959.98	Professional		$199.71	$1,174.73	$1,959.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.44 / $954.28 / $1,639.17	Professional		$567.44	$954.28	$1,639.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $806.93 / $4,112.00 / $4,933.00	Facility		$806.93	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $772.42 / $882.76 / $1,282.71	Professional		$772.42	$882.76	$1,282.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $500.05 / $883.19	Professional		$68.50	$500.05	$883.19
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 $783.12 / $972.18 / $1,265.83	Professional		$783.12	$972.18	$1,265.83