Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.41 / $2,877.00 / $4,933.00	Facility		$909.41	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $611.66 / $909.41 / $944.39	Professional		$611.66	$909.41	$944.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,331.38 / $3,910.06 / $5,297.51	Facility		$3,331.38	$3,910.06	$5,297.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.86 / $1,083.10 / $1,807.12	Professional		$198.86	$1,083.10	$1,807.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.63 / $843.48 / $1,508.72	Professional		$522.63	$843.48	$1,508.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $647.16 / $2,877.00 / $4,933.00	Facility		$647.16	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $647.16 / $745.62 / $1,135.08	Professional		$647.16	$745.62	$1,135.08
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 $663.58 / $825.39 / $1,137.31	Professional		$663.58	$825.39	$1,137.31