Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.20 / $2,900.25 / $4,933.00	Facility		$92.20	$2,900.25	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.02 / $1,000.00 / $2,900.25	Professional		$90.02	$1,000.00	$2,900.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,861.13 / $2,544.00 / $5,866.67	Facility		$1,861.13	$2,544.00	$5,866.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $145.53 / $188.91	Professional		$26.58	$145.53	$188.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.31 / $130.97 / $4,235.29	Professional		$109.31	$130.97	$4,235.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,877.00 / $3,695.02 / $4,933.00	Facility		$2,877.00	$3,695.02	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $92.20 / $3,695.02 / $6,012.85	Professional		$92.20	$3,695.02	$6,012.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,609.56 / $5,716.72 / $8,047.16	Professional		$4,609.56	$5,716.72	$8,047.16
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,857.56 / $2,270.36 / $3,193.36	Professional		$1,857.56	$2,270.36	$3,193.36