Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.16 / $4,112.00 / $4,933.00	Facility		$396.16	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.68 / $433.04 / $2,060.10	Professional		$280.68	$433.04	$2,060.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,005.67 / $3,503.21 / $4,746.30	Facility		$3,005.67	$3,503.21	$4,746.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $460.14 / $591.61	Professional		$77.48	$460.14	$591.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.95 / $604.40 / $2,792.03	Professional		$314.95	$604.40	$2,792.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,537.86 / $4,112.00 / $4,933.00	Facility		$1,537.86	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $396.16 / $1,537.86 / $2,112.54	Professional		$396.16	$1,537.86	$2,112.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,210.22 / $1,499.26 / $2,188.35	Professional		$1,210.22	$1,499.26	$2,188.35
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 $1,724.57 / $2,140.92 / $2,821.40	Professional		$1,724.57	$2,140.92	$2,821.40