Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.53 / $4,112.00 / $4,933.00	Facility		$783.53	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.36 / $783.53 / $937.60	Professional		$551.36	$783.53	$937.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,313.97 / $6,237.04 / $8,450.20	Facility		$5,313.97	$6,237.04	$8,450.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.49 / $1,013.26 / $1,618.39	Professional		$159.49	$1,013.26	$1,618.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.65 / $712.13 / $1,302.77	Professional		$451.65	$712.13	$1,302.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $470.80 / $4,112.00 / $4,933.00	Facility		$470.80	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $470.80 / $635.58 / $1,016.24	Professional		$470.80	$635.58	$1,016.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $397.61 / $696.82	Professional		$68.50	$397.61	$696.82
United Facility/Professional Facility Modifier Low / Median / High Price $4,561.00 / $9,143.00 / $12,767.00	Facility		$4,561.00	$9,143.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $553.33 / $686.93 / $946.61	Professional		$553.33	$686.93	$946.61