Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $922.78 / $4,933.00 / $5,757.00	Facility		$922.78	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.88 / $922.72 / $1,111.35	Professional		$599.88	$922.72	$1,111.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,358.01 / $3,941.32 / $5,339.86	Facility		$3,358.01	$3,941.32	$5,339.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.72 / $1,043.61 / $1,832.88	Professional		$208.72	$1,043.61	$1,832.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.01 / $800.82 / $1,529.92	Professional		$530.01	$800.82	$1,529.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $653.12 / $4,933.00 / $5,757.00	Facility		$653.12	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $653.12 / $756.31 / $1,157.15	Professional		$653.12	$756.31	$1,157.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $499.91 / $839.64	Professional		$68.50	$499.91	$839.64
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 $653.60 / $844.99 / $1,178.68	Professional		$653.60	$844.99	$1,178.68