Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $995.56 / $4,933.00 / $6,853.00	Facility		$995.56	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.69 / $2,701.11 / $5,197.72	Professional		$768.69	$2,701.11	$5,197.72
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 $224.33 / $787.26 / $1,889.42	Professional		$224.33	$787.26	$1,889.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.80 / $2,341.12 / $6,113.17	Professional		$758.80	$2,341.12	$6,113.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,914.45 / $4,933.00 / $6,853.00	Facility		$3,914.45	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $995.56 / $3,914.45 / $5,329.29	Professional		$995.56	$3,914.45	$5,329.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $409.96 / $2,648.07 / $4,464.85	Professional		$409.96	$2,648.07	$4,464.85
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 $3,386.65 / $4,515.53 / $6,325.64	Professional		$3,386.65	$4,515.53	$6,325.64