Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.29 / $4,933.00 / $5,757.00	Facility		$545.29	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.01 / $545.29 / $1,183.30	Professional		$413.01	$545.29	$1,183.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,695.00 / $4,313.18 / $5,875.73	Facility		$3,695.00	$4,313.18	$5,875.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.57 / $692.91 / $1,080.94	Professional		$129.57	$692.91	$1,080.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.26 / $490.64 / $878.96	Professional		$400.26	$490.64	$878.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $430.30 / $4,933.00 / $5,757.00	Facility		$430.30	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $430.30 / $486.68 / $857.08	Professional		$430.30	$486.68	$857.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $392.83 / $590.61	Professional		$37.27	$392.83	$590.61
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $10,359.00 / $12,767.00	Facility		$5,000.00	$10,359.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $464.19 / $573.24 / $711.10	Professional		$464.19	$573.24	$711.10