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 $2,101.02 / $2,448.81 / $3,317.75	Facility		$2,101.02	$2,448.81	$3,317.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $432.96 / $823.59	Professional		$90.73	$432.96	$823.59
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 / $463.08	Professional		$367.50	$367.50	$463.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,433.80 / $3,179.70 / $6,036.00	Facility		$1,433.80	$3,179.70	$6,036.00