Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.38 / $4,933.00 / $4,933.00	Facility		$905.38	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.63 / $765.78 / $905.38	Professional		$491.63	$765.78	$905.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,880.55 / $20,522.43 / $28,333.23	Facility		$13,880.55	$20,522.43	$28,333.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,982.15 / $6,922.96 / $12,825.71	Professional		$1,982.15	$6,922.96	$12,825.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.47 / $915.40 / $2,487.46	Professional		$552.47	$915.40	$2,487.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $905.38 / $4,933.00 / $4,933.00	Facility		$905.38	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $810.56 / $1,267.59 / $1,701.91	Professional		$810.56	$1,267.59	$1,701.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $748.09 / $748.09	Professional		$100.00	$748.09	$748.09
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,036.00	Facility		$850.00	$4,645.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $700.61 / $1,258.71 / $1,991.98	Professional		$700.61	$1,258.71	$1,991.98