Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.96 / $4,933.00 / $6,853.00	Facility		$958.96	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.91 / $1,569.66 / $2,359.39	Professional		$740.91	$1,569.66	$2,359.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,664.16 / $4,300.64 / $5,826.70	Facility		$3,664.16	$4,300.64	$5,826.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.15 / $1,153.82 / $1,990.34	Professional		$196.15	$1,153.82	$1,990.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $730.03 / $1,332.11 / $2,966.63	Professional		$730.03	$1,332.11	$2,966.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,182.21 / $4,933.00 / $6,853.00	Facility		$2,182.21	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $995.85 / $2,191.88 / $2,961.47	Professional		$995.85	$2,191.88	$2,961.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.56 / $1,163.66 / $1,975.59	Professional		$171.56	$1,163.66	$1,975.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,702.00 / $10,652.00	Facility		$3,500.00	$8,702.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,767.64 / $2,355.17 / $3,503.88	Professional		$1,767.64	$2,355.17	$3,503.88