Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.83 / $2,056.00 / $4,933.00	Facility		$272.83	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $282.94 / $2,778.38	Professional		$174.33	$282.94	$2,778.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,477.50 / $14,554.60 / $20,477.25	Facility		$12,477.50	$14,554.60	$20,477.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.45 / $408.08 / $634.78	Professional		$53.45	$408.08	$634.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.56 / $418.08 / $3,359.16	Professional		$207.56	$418.08	$3,359.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,800.68 / $2,552.03 / $4,933.00	Facility		$1,800.68	$2,552.03	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $272.83 / $1,917.97 / $2,778.38	Professional		$272.83	$1,917.97	$2,778.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,100.41 / $1,364.25 / $1,988.26	Professional		$1,100.41	$1,364.25	$1,988.26
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,866.28 / $3,296.26 / $4,306.26	Professional		$1,866.28	$3,296.26	$4,306.26