Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.69 / $4,933.00 / $5,757.00	Facility		$947.69	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.75 / $947.69 / $987.18	Professional		$681.75	$947.69	$987.18
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 $211.83 / $1,269.19 / $1,979.94	Professional		$211.83	$1,269.19	$1,979.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $700.99 / $908.96 / $1,627.61	Professional		$700.99	$908.96	$1,627.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $840.97 / $4,933.00 / $5,757.00	Facility		$840.97	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $840.97 / $901.33 / $1,358.83	Professional		$840.97	$901.33	$1,358.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $679.97 / $1,020.82	Professional		$65.66	$679.97	$1,020.82
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 $879.97 / $1,067.23 / $1,326.85	Professional		$879.97	$1,067.23	$1,326.85