Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.25 / $2,618.19 / $4,933.00	Facility		$250.25	$2,618.19	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $1,538.20 / $2,618.19	Professional		$169.11	$1,538.20	$2,618.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.84 / $62.84 / $471.34	Facility		$62.84	$62.84	$471.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.84 / $326.80 / $490.19	Professional		$62.84	$326.80	$490.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.10 / $1,580.47 / $4,142.46	Professional		$204.10	$1,580.47	$4,142.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,618.19 / $4,933.00 / $4,933.00	Facility		$2,618.19	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $250.25 / $2,711.06 / $3,353.16	Professional		$250.25	$2,711.06	$3,353.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,781.28 / $2,231.22 / $3,242.10	Professional		$1,781.28	$2,231.22	$3,242.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,849.00 / $9,202.00	Facility		$3,296.00	$7,849.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,110.63 / $2,795.05 / $3,687.46	Professional		$2,110.63	$2,795.05	$3,687.46