Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.49 / $4,112.00 / $4,933.00	Facility		$459.49	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.12 / $1,341.50 / $1,704.81	Professional		$384.12	$1,341.50	$1,704.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,858.89 / $3,332.14 / $4,514.52	Facility		$2,858.89	$3,332.14	$4,514.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.15 / $502.46 / $678.32	Professional		$81.15	$502.46	$678.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.98 / $677.93 / $2,658.06	Professional		$322.98	$677.93	$2,658.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,643.92 / $4,112.00 / $4,933.00	Facility		$1,643.92	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $466.30 / $1,751.05 / $2,104.17	Professional		$466.30	$1,751.05	$2,104.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,015.41 / $1,257.01 / $1,854.79	Professional		$1,015.41	$1,257.01	$1,854.79
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 $1,561.51 / $2,182.96 / $2,912.01	Professional		$1,561.51	$2,182.96	$2,912.01