Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $4,797.00 / $4,933.00	Facility		$40.00	$4,797.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $2,719.85	Professional		$40.00	$40.00	$2,719.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55,012.29 / $64,170.02 / $90,282.49	Facility		$55,012.29	$64,170.02	$90,282.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,844.48 / $2,019.22 / $2,621.11	Professional		$1,844.48	$2,019.22	$2,621.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $24.00	Professional		$24.00	$24.00	$24.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,112.00 / $4,797.00 / $4,933.00	Facility		$4,112.00	$4,797.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $2,719.85	Professional		$40.00	$40.00	$2,719.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00