Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.11 / $1,721.51 / $4,933.00	Facility		$290.11	$1,721.51	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.84 / $660.38 / $1,551.42	Professional		$223.84	$660.38	$1,551.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,180.18 / $7,043.97 / $17,225.09	Facility		$5,180.18	$7,043.97	$17,225.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.48 / $312.73 / $562.91	Professional		$56.48	$312.73	$562.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.66 / $359.66 / $359.66	Facility		$359.66	$359.66	$359.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.83 / $678.52 / $2,115.26	Professional		$227.83	$678.52	$2,115.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $365.53 / $2,877.00 / $4,933.00	Facility		$365.53	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $235.68 / $1,120.53 / $1,721.51	Professional		$235.68	$1,120.53	$1,721.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $791.67 / $993.68 / $1,398.39	Professional		$791.67	$993.68	$1,398.39
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,438.00 / $2,029.00	Facility		$464.00	$1,438.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.31 / $1,396.85 / $1,868.43	Professional		$1,047.31	$1,396.85	$1,868.43