Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.87 / $4,112.00 / $12,951.19	Facility		$817.87	$4,112.00	$12,951.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.52 / $817.87 / $906.93	Professional		$440.52	$817.87	$906.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,658.43 / $5,565.88 / $7,317.22	Facility		$4,658.43	$5,565.88	$7,317.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $946.20 / $5,287.59 / $6,957.35	Professional		$946.20	$5,287.59	$6,957.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.27 / $1,357.79 / $1,787.15	Professional		$1,133.27	$1,357.79	$1,787.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $766.21 / $4,112.00 / $5,756.00	Facility		$766.21	$4,112.00	$5,756.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $766.21 / $817.87 / $1,505.72	Professional		$766.21	$817.87	$1,505.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $100.00	Professional		$30.00	$75.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $8,911.00	Facility		$2,500.00	$7,780.00	$8,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $310.13 / $944.70 / $1,310.51	Professional		$310.13	$944.70	$1,310.51