Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.95 / $4,933.00 / $6,906.00	Facility		$1,037.95	$4,933.00	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.82 / $1,037.95 / $1,077.86	Professional		$729.82	$1,037.95	$1,077.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24,266.92 / $28,482.24 / $38,588.90	Facility		$24,266.92	$28,482.24	$38,588.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.51 / $1,324.04 / $2,135.52	Professional		$231.51	$1,324.04	$2,135.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.51 / $922.52 / $1,730.18	Professional		$597.51	$922.52	$1,730.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $791.25 / $4,933.00 / $7,685.05	Facility		$791.25	$4,933.00	$7,685.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $791.25 / $889.29 / $1,301.40	Professional		$791.25	$889.29	$1,301.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $563.89 / $949.86	Professional		$68.50	$563.89	$949.86
United Facility/Professional Facility Modifier Low / Median / High Price $5,356.00 / $11,464.00 / $14,085.00	Facility		$5,356.00	$11,464.00	$14,085.00
United Facility/Professional Professional Modifier Low / Median / High Price $808.84 / $957.65 / $1,320.48	Professional		$808.84	$957.65	$1,320.48