Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.50 / $1,022.65 / $4,933.00	Facility		$861.50	$1,022.65	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.33 / $861.50 / $1,022.65	Professional		$618.33	$861.50	$1,022.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,383.10 / $2,779.80 / $3,910.98	Facility		$2,383.10	$2,779.80	$3,910.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.82 / $1,089.08 / $2,042.04	Professional		$217.82	$1,089.08	$2,042.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.19 / $844.44 / $3,022.79	Professional		$626.19	$844.44	$3,022.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $927.50 / $4,112.00 / $5,756.00	Facility		$927.50	$4,112.00	$5,756.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $800.44 / $927.50 / $1,170.11	Professional		$800.44	$927.50	$1,170.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $610.28 / $984.80	Professional		$68.25	$610.28	$984.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,062.38 / $3,523.00 / $6,327.00	Facility		$1,062.38	$3,523.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $836.38 / $1,027.27 / $1,309.92	Professional		$836.38	$1,027.27	$1,309.92