Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.87 / $4,933.00 / $4,933.00	Facility		$962.87	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.62 / $769.20 / $1,248.83	Professional		$603.62	$769.20	$1,248.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,055.63 / $3,586.41 / $4,859.02	Facility		$3,055.63	$3,586.41	$4,859.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.16 / $1,219.11 / $1,901.83	Professional		$213.16	$1,219.11	$1,901.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.79 / $832.94 / $1,635.82	Professional		$554.79	$832.94	$1,635.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $711.31 / $962.87 / $6,906.00	Facility		$711.31	$962.87	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $702.36 / $807.71 / $1,248.83	Professional		$702.36	$807.71	$1,248.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $517.60 / $863.52	Professional		$68.50	$517.60	$863.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $713.22 / $854.46 / $1,131.55	Professional		$713.22	$854.46	$1,131.55