Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.88 / $4,933.00 / $12,044.92	Facility		$851.88	$4,933.00	$12,044.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.40 / $851.88 / $1,077.65	Professional		$599.40	$851.88	$1,077.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,132.62 / $3,676.78 / $4,981.45	Facility		$3,132.62	$3,676.78	$4,981.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.61 / $837.69 / $1,584.00	Professional		$172.61	$837.69	$1,584.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.04 / $783.76 / $1,414.06	Professional		$490.04	$783.76	$1,414.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $678.19 / $4,933.00 / $12,044.92	Facility		$678.19	$4,933.00	$12,044.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $666.40 / $761.60 / $1,180.06	Professional		$666.40	$761.60	$1,180.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $460.38 / $784.12	Professional		$68.56	$460.38	$784.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $6,978.00 / $9,202.00	Facility		$2,500.00	$6,978.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $673.07 / $807.68 / $1,085.10	Professional		$673.07	$807.68	$1,085.10