Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $997.14 / $2,877.00 / $4,933.00	Facility		$997.14	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.23 / $997.14 / $1,035.49	Professional		$686.23	$997.14	$1,035.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,401.12 / $3,991.92 / $5,408.41	Facility		$3,401.12	$3,991.92	$5,408.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.82 / $1,269.72 / $1,923.24	Professional		$201.82	$1,269.72	$1,923.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.88 / $927.71 / $1,654.61	Professional		$572.88	$927.71	$1,654.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $779.92 / $2,877.00 / $4,933.00	Facility		$779.92	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $779.92 / $857.91 / $1,224.95	Professional		$779.92	$857.91	$1,224.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $532.50 / $901.05	Professional		$68.50	$532.50	$901.05
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,702.00 / $10,652.00	Facility		$3,500.00	$8,702.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $728.87 / $890.86 / $1,237.75	Professional		$728.87	$890.86	$1,237.75