Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.45 / $4,933.00 / $5,757.00	Facility		$856.45	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.29 / $852.38 / $889.39	Professional		$601.29	$852.38	$889.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,068.40 / $3,601.39 / $4,879.32	Facility		$3,068.40	$3,601.39	$4,879.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $1,068.77 / $1,648.95	Professional		$199.00	$1,068.77	$1,648.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.06 / $736.30 / $1,415.72	Professional		$491.06	$736.30	$1,415.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $685.44 / $4,933.00 / $5,757.00	Facility		$685.44	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $669.81 / $753.98 / $1,074.50	Professional		$669.81	$753.98	$1,074.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $436.23 / $756.86	Professional		$68.44	$436.23	$756.86
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 $659.64 / $792.48 / $1,078.08	Professional		$659.64	$792.48	$1,078.08