Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.13 / $4,112.00 / $4,933.00	Facility		$735.13	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.89 / $621.92 / $735.13	Professional		$412.89	$621.92	$735.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,415.06 / $6,343.09 / $9,734.49	Facility		$5,415.06	$6,343.09	$9,734.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,654.87 / $6,388.25 / $10,805.28	Professional		$1,654.87	$6,388.25	$10,805.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.12 / $777.71 / $2,021.12	Professional		$476.12	$777.71	$2,021.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,457.73 / $4,112.00 / $4,933.00	Facility		$1,457.73	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $677.39 / $1,457.73 / $2,147.62	Professional		$677.39	$1,457.73	$2,147.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $860.29 / $860.29	Professional		$100.00	$860.29	$860.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,702.00 / $10,351.00	Facility		$3,500.00	$8,702.00	$10,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $482.00 / $1,136.11 / $2,259.11	Professional		$482.00	$1,136.11	$2,259.11