Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.88 / $4,426.08 / $7,575.98	Facility		$473.88	$4,426.08	$7,575.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.75 / $1,105.50 / $1,989.61	Professional		$331.75	$1,105.50	$1,989.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,817.60 / $4,449.55 / $6,028.43	Facility		$3,817.60	$4,449.55	$6,028.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.27 / $525.16 / $681.70	Professional		$89.27	$525.16	$681.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.39 / $703.08 / $2,537.56	Professional		$328.39	$703.08	$2,537.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,672.50 / $4,913.57 / $7,575.98	Facility		$1,672.50	$4,913.57	$7,575.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $456.97 / $1,672.50 / $2,272.63	Professional		$456.97	$1,672.50	$2,272.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,179.45 / $1,462.20 / $2,136.73	Professional		$1,179.45	$1,462.20	$2,136.73
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 $1,801.52 / $2,232.73 / $2,898.58	Professional		$1,801.52	$2,232.73	$2,898.58