Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.98 / $4,112.00 / $4,933.00	Facility		$370.98	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $851.26 / $1,534.37	Professional		$305.64	$851.26	$1,534.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,587.16 / $3,536.42 / $8,155.26	Facility		$2,587.16	$3,536.42	$8,155.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.63 / $285.39 / $507.93	Professional		$77.63	$285.39	$507.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.75 / $571.66 / $2,445.36	Professional		$295.75	$571.66	$2,445.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,115.58 / $4,112.00 / $4,933.00	Facility		$1,115.58	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $384.72 / $1,223.90 / $1,651.84	Professional		$384.72	$1,223.90	$1,651.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.24 / $1,107.85 / $1,655.48	Professional		$97.24	$1,107.85	$1,655.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,165.51 / $10,165.85	Facility		$3,296.00	$7,165.51	$10,165.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,247.33 / $1,478.02 / $2,102.90	Professional		$1,247.33	$1,478.02	$2,102.90