Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.83 / $4,112.00 / $4,933.00	Facility		$839.83	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.59 / $839.83 / $839.83	Professional		$651.59	$839.83	$839.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,901.29 / $25,526.72 / $34,584.65	Facility		$21,901.29	$25,526.72	$34,584.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.67 / $627.46 / $1,054.13	Professional		$170.67	$627.46	$1,054.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $618.07 / $755.59 / $1,353.05	Professional		$618.07	$755.59	$1,353.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $663.67 / $4,112.00 / $4,933.00	Facility		$663.67	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $663.67 / $751.63 / $1,073.26	Professional		$663.67	$751.63	$1,073.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $558.92 / $834.62	Professional		$65.66	$558.92	$834.62
United Facility/Professional Facility Modifier Low / Median / High Price $5,242.00 / $11,386.00 / $14,805.00	Facility		$5,242.00	$11,386.00	$14,805.00
United Facility/Professional Professional Modifier Low / Median / High Price $719.23 / $904.81 / $1,174.27	Professional		$719.23	$904.81	$1,174.27