Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.07 / $4,112.00 / $4,933.00	Facility		$785.07	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.89 / $664.04 / $792.98	Professional		$412.89	$664.04	$792.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,362.11 / $7,927.89 / $10,945.23	Facility		$5,362.11	$7,927.89	$10,945.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,982.15 / $11,076.75 / $13,408.70	Professional		$1,982.15	$11,076.75	$13,408.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.00 / $830.37 / $2,731.55	Professional		$508.00	$830.37	$2,731.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $989.18 / $4,112.00 / $4,933.00	Facility		$989.18	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $723.35 / $1,294.24 / $1,867.52	Professional		$723.35	$1,294.24	$1,867.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $100.00 / $748.09	Professional		$75.00	$100.00	$748.09
United Facility/Professional Facility Modifier Low / Median / High Price $5,356.00 / $10,542.16 / $13,668.00	Facility		$5,356.00	$10,542.16	$13,668.00
United Facility/Professional Professional Modifier Low / Median / High Price $455.76 / $1,424.24 / $1,952.61	Professional		$455.76	$1,424.24	$1,952.61