Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.68 / $2,056.00 / $4,933.00	Facility		$280.68	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.99 / $2,586.37 / $4,864.03	Professional		$206.99	$2,586.37	$4,864.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,610.53 / $18,303.64 / $44,001.80	Facility		$12,610.53	$18,303.64	$44,001.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $306.56 / $435.63	Professional		$53.24	$306.56	$435.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.70 / $646.66 / $5,905.31	Professional		$208.70	$646.66	$5,905.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $3,604.46 / $4,933.00	Facility		$0.45	$3,604.46	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $280.68 / $4,125.96 / $4,949.63	Professional		$280.68	$4,125.96	$4,949.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,197.60 / $2,764.20 / $3,955.69	Professional		$2,197.60	$2,764.20	$3,955.69
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,685.00 / $19,152.00	Facility		$300.00	$1,685.00	$19,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,576.14 / $5,111.72 / $6,696.71	Professional		$3,576.14	$5,111.72	$6,696.71