Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.60 / $2,056.00 / $4,933.00	Facility		$498.60	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.39 / $517.77 / $3,196.72	Professional		$178.39	$517.77	$3,196.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,622.94 / $12,468.20 / $16,892.43	Facility		$10,622.94	$12,468.20	$16,892.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $714.19 / $1,184.58	Professional		$116.74	$714.19	$1,184.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.98 / $445.49 / $4,133.85	Professional		$184.98	$445.49	$4,133.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $220.01 / $2,056.00 / $4,933.00	Facility		$220.01	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $220.01 / $498.60 / $4,347.81	Professional		$220.01	$498.60	$4,347.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $356.79 / $3,109.59 / $4,688.12	Professional		$356.79	$3,109.59	$4,688.12
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $8,995.00 / $12,767.00	Facility		$4,635.00	$8,995.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.77 / $273.17 / $3,281.79	Professional		$219.77	$273.17	$3,281.79