Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.32 / $4,933.00 / $5,757.00	Facility		$942.32	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.54 / $940.89 / $978.56	Professional		$662.54	$940.89	$978.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,932.51 / $3,441.90 / $4,663.22	Facility		$2,932.51	$3,441.90	$4,663.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.65 / $1,065.39 / $1,816.77	Professional		$190.65	$1,065.39	$1,816.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $873.38 / $1,561.52	Professional		$540.82	$873.38	$1,561.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $752.12 / $4,933.00 / $5,757.00	Facility		$752.12	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $737.43 / $827.33 / $1,221.50	Professional		$737.43	$827.33	$1,221.50
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 $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 $744.36 / $880.14 / $1,204.55	Professional		$744.36	$880.14	$1,204.55