Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $913.40 / $4,933.00 / $4,933.00	Facility		$913.40	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $623.84 / $913.40 / $948.53	Professional		$623.84	$913.40	$948.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,104.20 / $3,643.42 / $4,936.25	Facility		$3,104.20	$3,643.42	$4,936.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.78 / $1,139.88 / $1,811.27	Professional		$193.78	$1,139.88	$1,811.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.21 / $802.50 / $1,520.69	Professional		$525.21	$802.50	$1,520.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $646.55 / $913.40 / $4,933.00	Facility		$646.55	$913.40	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $646.55 / $743.54 / $1,130.59	Professional		$646.55	$743.54	$1,130.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $491.28 / $827.57	Professional		$68.50	$491.28	$827.57
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $665.01 / $797.54 / $1,086.58	Professional		$665.01	$797.54	$1,086.58