Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.95 / $4,933.00 / $5,757.00	Facility		$908.95	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.08 / $908.95 / $1,208.49	Professional		$632.08	$908.95	$1,208.49
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 $215.53 / $1,077.63 / $1,697.28	Professional		$215.53	$1,077.63	$1,697.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.82 / $786.81 / $1,587.31	Professional		$522.82	$786.81	$1,587.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $685.55 / $4,933.00 / $5,757.00	Facility		$685.55	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $685.55 / $764.09 / $1,178.91	Professional		$685.55	$764.09	$1,178.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $487.59 / $801.39	Professional		$68.50	$487.59	$801.39
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 $670.91 / $806.10 / $1,078.13	Professional		$670.91	$806.10	$1,078.13