Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.08 / $4,112.00 / $13,492.95	Facility		$512.08	$4,112.00	$13,492.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.50 / $866.01 / $1,652.17	Professional		$327.50	$866.01	$1,652.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,587.16 / $3,017.84 / $4,245.87	Facility		$2,587.16	$3,017.84	$4,245.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.28 / $377.45 / $862.75	Professional		$109.28	$377.45	$862.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.25 / $766.43 / $2,208.14	Professional		$396.25	$766.43	$2,208.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,307.94 / $4,112.00 / $13,492.95	Facility		$1,307.94	$4,112.00	$13,492.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $525.39 / $1,307.94 / $1,747.42	Professional		$525.39	$1,307.94	$1,747.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.68 / $986.80 / $1,498.53	Professional		$130.68	$986.80	$1,498.53
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,780.00 / $10,556.00	Facility		$3,296.00	$7,780.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,277.31 / $1,621.00 / $2,278.75	Professional		$1,277.31	$1,621.00	$2,278.75