Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.72 / $4,933.00 / $6,906.00	Facility		$763.72	$4,933.00	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.82 / $672.54 / $763.72	Professional		$548.82	$672.54	$763.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,804.12 / $5,599.37 / $7,586.26	Facility		$4,804.12	$5,599.37	$7,586.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.37 / $759.67 / $945.37	Professional		$168.37	$759.67	$945.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.09 / $725.28 / $1,220.10	Professional		$487.09	$725.28	$1,220.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $604.30 / $4,933.00 / $6,906.00	Facility		$604.30	$4,933.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $604.30 / $674.25 / $1,009.60	Professional		$604.30	$674.25	$1,009.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $517.27 / $768.45	Professional		$65.66	$517.27	$768.45
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 $639.29 / $730.16 / $971.77	Professional		$639.29	$730.16	$971.77