Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.51 / $4,933.00 / $8,361.00	Facility		$758.51	$4,933.00	$8,361.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.66 / $758.51 / $821.72	Professional		$564.66	$758.51	$821.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,631.16 / $19,413.59 / $26,446.65	Facility		$16,631.16	$19,413.59	$26,446.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.23 / $573.61 / $1,074.57	Professional		$164.23	$573.61	$1,074.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.16 / $808.37 / $1,264.27	Professional		$460.16	$808.37	$1,264.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $612.91 / $4,933.00 / $8,361.00	Facility		$612.91	$4,933.00	$8,361.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $612.91 / $612.91 / $821.72	Professional		$612.91	$612.91	$821.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $521.57 / $793.25	Professional		$65.66	$521.57	$793.25
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 $690.98 / $811.11 / $1,038.22	Professional		$690.98	$811.11	$1,038.22