Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.86 / $2,877.00 / $4,933.00	Facility		$264.86	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $648.17 / $1,359.25	Professional		$213.84	$648.17	$1,359.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,374.98 / $3,425.46 / $8,166.98	Facility		$2,374.98	$3,425.46	$8,166.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $200.97 / $312.77	Professional		$49.70	$200.97	$312.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.96 / $336.96 / $336.96	Facility		$336.96	$336.96	$336.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.15 / $761.09 / $1,984.58	Professional		$212.15	$761.09	$1,984.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,142.08 / $2,877.00 / $4,933.00	Facility		$1,142.08	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $264.86 / $1,142.08 / $1,562.24	Professional		$264.86	$1,142.08	$1,562.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $739.54 / $929.12 / $1,303.72	Professional		$739.54	$929.12	$1,303.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,500.00 / $9,202.00	Facility		$3,296.00	$7,500.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,084.13 / $1,408.52 / $2,021.51	Professional		$1,084.13	$1,408.52	$2,021.51