Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $968.75 / $4,112.00 / $4,933.00	Facility		$968.75	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.73 / $776.02 / $1,218.53	Professional		$646.73	$776.02	$1,218.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,351.23 / $7,225.88 / $16,969.02	Facility		$5,351.23	$7,225.88	$16,969.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.79 / $1,156.31 / $1,929.25	Professional		$190.79	$1,156.31	$1,929.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.29 / $885.39 / $1,607.54	Professional		$557.29	$885.39	$1,607.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $772.01 / $4,112.00 / $4,933.00	Facility		$772.01	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $723.17 / $849.21 / $1,257.13	Professional		$723.17	$849.21	$1,257.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $532.50 / $887.08	Professional		$68.50	$532.50	$887.08
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $756.86 / $902.58 / $1,227.40	Professional		$756.86	$902.58	$1,227.40