Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.58 / $4,112.00 / $4,933.00	Facility		$949.58	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.75 / $763.90 / $986.10	Professional		$666.75	$763.90	$986.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,984.94 / $11,719.38 / $15,877.90	Facility		$9,984.94	$11,719.38	$15,877.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.25 / $1,187.46 / $1,950.83	Professional		$192.25	$1,187.46	$1,950.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.53 / $918.08 / $1,574.25	Professional		$545.53	$918.08	$1,574.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $774.05 / $4,112.00 / $4,933.00	Facility		$774.05	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $743.33 / $849.52 / $1,231.60	Professional		$743.33	$849.52	$1,231.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $499.91 / $839.64	Professional		$68.44	$499.91	$839.64
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $9,379.31 / $22,366.04	Facility		$4,069.00	$9,379.31	$22,366.04
United Facility/Professional Professional Modifier Low / Median / High Price $741.87 / $936.25 / $1,363.07	Professional		$741.87	$936.25	$1,363.07