Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.26 / $4,112.00 / $4,933.00	Facility		$816.26	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.57 / $662.49 / $1,037.28	Professional		$546.57	$662.49	$1,037.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,871.90 / $3,877.99 / $9,106.93	Facility		$2,871.90	$3,877.99	$9,106.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.93 / $976.05 / $1,628.48	Professional		$165.93	$976.05	$1,628.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.10 / $713.85 / $1,355.71	Professional		$470.10	$713.85	$1,355.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $651.52 / $4,112.00 / $4,933.00	Facility		$651.52	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $640.37 / $716.67 / $1,066.23	Professional		$640.37	$716.67	$1,066.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $427.92 / $720.82	Professional		$68.50	$427.92	$720.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $646.83 / $762.25 / $1,049.03	Professional		$646.83	$762.25	$1,049.03