Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.04 / $4,112.00 / $4,933.00	Facility		$938.04	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.80 / $938.04 / $974.12	Professional		$619.80	$938.04	$974.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,322.81 / $3,900.01 / $5,283.89	Facility		$3,322.81	$3,900.01	$5,283.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.75 / $1,118.47 / $1,866.10	Professional		$197.75	$1,118.47	$1,866.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $539.52 / $843.85 / $1,557.16	Professional		$539.52	$843.85	$1,557.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $667.27 / $4,112.00 / $4,933.00	Facility		$667.27	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $667.27 / $768.55 / $1,122.63	Professional		$667.27	$768.55	$1,122.63
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 / $7,519.00 / $10,351.00	Facility		$3,500.00	$7,519.00	$10,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $691.25 / $856.40 / $1,120.67	Professional		$691.25	$856.40	$1,120.67