Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.25 / $4,112.00 / $4,933.00	Facility		$939.25	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.06 / $939.25 / $975.37	Professional		$660.06	$939.25	$975.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,624.89 / $4,254.56 / $5,764.25	Facility		$3,624.89	$4,254.56	$5,764.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.73 / $1,234.15 / $1,767.08	Professional		$190.73	$1,234.15	$1,767.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.71 / $804.78 / $1,558.65	Professional		$540.71	$804.78	$1,558.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $704.91 / $4,112.00 / $4,933.00	Facility		$704.91	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $704.91 / $810.64 / $1,218.21	Professional		$704.91	$810.64	$1,218.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $509.08 / $876.09	Professional		$68.50	$509.08	$876.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,702.00 / $10,652.00	Facility		$3,500.00	$8,702.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $731.18 / $858.84 / $1,205.42	Professional		$731.18	$858.84	$1,205.42