Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.35 / $2,877.00 / $4,933.00	Facility		$730.35	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.54 / $730.35 / $730.35	Professional		$535.54	$730.35	$730.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,117.29 / $9,475.33 / $12,908.00	Facility		$8,117.29	$9,475.33	$12,908.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.71 / $1,219.14 / $1,668.30	Professional		$152.71	$1,219.14	$1,668.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.57 / $670.06 / $1,175.22	Professional		$531.57	$670.06	$1,175.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $591.75 / $2,877.00 / $4,933.00	Facility		$591.75	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $591.75 / $647.90 / $953.31	Professional		$591.75	$647.90	$953.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $523.10 / $774.37	Professional		$49.63	$523.10	$774.37
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,504.00	Facility		$773.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $633.97 / $784.91 / $1,096.74	Professional		$633.97	$784.91	$1,096.74