Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.35 / $4,933.00 / $4,933.00	Facility		$984.35	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.78 / $984.35 / $1,020.81	Professional		$471.78	$984.35	$1,020.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,858.89 / $3,332.14 / $4,514.52	Facility		$2,858.89	$3,332.14	$4,514.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.36 / $1,121.95 / $1,767.08	Professional		$198.36	$1,121.95	$1,767.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.54 / $878.86 / $1,310.53	Professional		$494.54	$878.86	$1,310.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $603.08 / $4,933.00 / $4,933.00	Facility		$603.08	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $603.08 / $748.55 / $1,052.16	Professional		$603.08	$748.55	$1,052.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $640.02 / $981.23	Professional		$65.67	$640.02	$981.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,780.00 / $10,556.00	Facility		$3,296.00	$7,780.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $665.41 / $837.88 / $1,195.28	Professional		$665.41	$837.88	$1,195.28