Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $775.80 / $4,112.00 / $4,933.00	Facility		$775.80	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.76 / $775.80 / $804.53	Professional		$563.76	$775.80	$804.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,005.67 / $3,503.21 / $4,746.30	Facility		$3,005.67	$3,503.21	$4,746.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $1,156.98 / $1,429.90	Professional		$145.69	$1,156.98	$1,429.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.92 / $778.05 / $1,048.08	Professional		$453.92	$778.05	$1,048.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $691.45 / $4,112.00 / $4,933.00	Facility		$691.45	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $662.79 / $691.45 / $1,044.19	Professional		$662.79	$691.45	$1,044.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $523.14 / $791.84	Professional		$49.63	$523.14	$791.84
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 $638.52 / $859.92 / $1,124.08	Professional		$638.52	$859.92	$1,124.08