Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.05 / $4,933.00 / $5,757.00	Facility		$873.05	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.17 / $873.05 / $909.43	Professional		$626.17	$873.05	$909.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,770.68 / $5,568.82 / $7,586.26	Facility		$4,770.68	$5,568.82	$7,586.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.72 / $1,216.36 / $2,050.44	Professional		$218.72	$1,216.36	$2,050.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.02 / $837.85 / $1,501.18	Professional		$647.02	$837.85	$1,501.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $774.19 / $4,933.00 / $5,757.00	Facility		$774.19	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $774.19 / $830.47 / $1,250.93	Professional		$774.19	$830.47	$1,250.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $636.32 / $959.61	Professional		$65.66	$636.32	$959.61
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 $843.32 / $983.34 / $1,212.78	Professional		$843.32	$983.34	$1,212.78