Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.64 / $4,112.00 / $4,933.00	Facility		$442.64	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.26 / $888.37 / $1,935.43	Professional		$367.26	$888.37	$1,935.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,576.31 / $3,002.78 / $4,068.29	Facility		$2,576.31	$3,002.78	$4,068.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.80 / $421.01 / $785.90	Professional		$94.80	$421.01	$785.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.35 / $664.77 / $2,600.42	Professional		$343.35	$664.77	$2,600.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,164.36 / $4,112.00 / $4,933.00	Facility		$1,164.36	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $459.04 / $1,304.08 / $1,976.13	Professional		$459.04	$1,304.08	$1,976.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.68 / $1,155.16 / $1,740.01	Professional		$130.68	$1,155.16	$1,740.01
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 $1,402.94 / $1,725.96 / $2,443.69	Professional		$1,402.94	$1,725.96	$2,443.69