Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.30 / $2,877.00 / $4,933.00	Facility		$828.30	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $594.85 / $828.30 / $1,042.17	Professional		$594.85	$828.30	$1,042.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,444.48 / $2,869.12 / $3,887.20	Facility		$2,444.48	$2,869.12	$3,887.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.11 / $983.01 / $1,592.48	Professional		$167.11	$983.01	$1,592.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.53 / $694.29 / $1,413.14	Professional		$478.53	$694.29	$1,413.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $483.76 / $2,877.00 / $4,933.00	Facility		$483.76	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $483.76 / $634.35 / $1,074.31	Professional		$483.76	$634.35	$1,074.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $440.04 / $724.14	Professional		$68.44	$440.04	$724.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,166.63 / $3,260.00 / $6,036.00	Facility		$1,166.63	$3,260.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $566.10 / $706.28 / $952.13	Professional		$566.10	$706.28	$952.13