Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $4,112.00 / $4,933.00	Facility		$367.50	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $367.50 / $416.50	Professional		$367.50	$367.50	$416.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,733.56 / $3,186.06 / $4,316.60	Facility		$2,733.56	$3,186.06	$4,316.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.29 / $548.88 / $939.68	Professional		$149.29	$548.88	$939.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,252.34 / $1,323.64 / $1,585.87	Professional		$1,252.34	$1,323.64	$1,585.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $4,112.00 / $5,756.00	Facility		$367.50	$4,112.00	$5,756.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $367.50 / $851.06	Professional		$367.50	$367.50	$851.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $774.46 / $774.46	Professional		$30.00	$774.46	$774.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,780.00 / $10,556.00	Facility		$3,296.00	$7,780.00	$10,556.00