Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.67 / $4,112.00 / $4,933.00	Facility		$901.67	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.87 / $785.24 / $936.35	Professional		$620.87	$785.24	$936.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,055.63 / $3,586.41 / $4,859.02	Facility		$3,055.63	$3,586.41	$4,859.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.74 / $1,020.44 / $1,691.78	Professional		$191.74	$1,020.44	$1,691.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.21 / $806.94 / $1,495.26	Professional		$518.21	$806.94	$1,495.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $662.45 / $4,112.00 / $4,933.00	Facility		$662.45	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $662.45 / $761.81 / $1,132.82	Professional		$662.45	$761.81	$1,132.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $491.58 / $806.80	Professional		$68.50	$491.58	$806.80
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 $700.48 / $828.88 / $1,178.58	Professional		$700.48	$828.88	$1,178.58