Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.87 / $4,933.00 / $5,757.00	Facility		$485.87	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.07 / $1,485.05 / $2,395.60	Professional		$310.07	$1,485.05	$2,395.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,025.58 / $8,188.56 / $11,094.19	Facility		$7,025.58	$8,188.56	$11,094.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.17 / $557.26 / $894.00	Professional		$107.17	$557.26	$894.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.93 / $745.73 / $3,261.60	Professional		$378.93	$745.73	$3,261.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,701.62 / $4,933.00 / $5,757.00	Facility		$1,701.62	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $485.87 / $1,701.62 / $2,457.40	Professional		$485.87	$1,701.62	$2,457.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,429.68 / $1,768.09 / $2,580.41	Professional		$1,429.68	$1,768.09	$2,580.41
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $10,192.00 / $14,705.00	Facility		$5,000.00	$10,192.00	$14,705.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,780.20 / $2,423.51 / $3,276.90	Professional		$1,780.20	$2,423.51	$3,276.90