Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.87 / $4,112.00 / $4,933.00	Facility		$964.87	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.51 / $771.34 / $1,001.98	Professional		$642.51	$771.34	$1,001.98
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 $218.85 / $1,094.24 / $2,073.29	Professional		$218.85	$1,094.24	$2,073.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.34 / $842.29 / $1,601.85	Professional		$555.34	$842.29	$1,601.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $768.49 / $4,112.00 / $4,933.00	Facility		$768.49	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $720.33 / $828.37 / $1,220.47	Professional		$720.33	$828.37	$1,220.47
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 $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 $753.67 / $897.90 / $1,214.36	Professional		$753.67	$897.90	$1,214.36