Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.18 / $1,175.44 / $4,933.00	Facility		$983.18	$1,175.44	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $751.47 / $983.18 / $1,593.53	Professional		$751.47	$983.18	$1,593.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,852.42 / $2,159.06 / $2,925.19	Facility		$1,852.42	$2,159.06	$2,925.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.16 / $1,321.68 / $2,120.35	Professional		$231.16	$1,321.68	$2,120.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.74 / $952.98 / $3,526.35	Professional		$712.74	$952.98	$3,526.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $983.18 / $1,175.44 / $4,933.00	Facility		$983.18	$1,175.44	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $885.02 / $1,028.97 / $1,576.72	Professional		$885.02	$1,028.97	$1,576.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $697.20 / $1,158.16	Professional		$102.24	$697.20	$1,158.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $3,640.00 / $6,740.00	Facility		$1,527.00	$3,640.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $877.95 / $1,117.44 / $1,405.68	Professional		$877.95	$1,117.44	$1,405.68