Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $843.23 / $4,112.00 / $4,933.00	Facility		$843.23	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.83 / $674.85 / $875.67	Professional		$524.83	$674.85	$875.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.02 / $2,584.52 / $3,501.62	Facility		$2,202.02	$2,584.52	$3,501.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.25 / $1,008.91 / $1,740.38	Professional		$197.25	$1,008.91	$1,740.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.70 / $736.87 / $1,400.69	Professional		$485.70	$736.87	$1,400.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $655.88 / $4,112.00 / $4,933.00	Facility		$655.88	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $655.88 / $724.53 / $1,052.05	Professional		$655.88	$724.53	$1,052.05
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 / $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 $624.21 / $754.17 / $1,065.03	Professional		$624.21	$754.17	$1,065.03