Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.07 / $2,056.00 / $4,933.00	Facility		$306.07	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.30 / $428.25 / $2,903.45	Professional		$236.30	$428.25	$2,903.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.99 / $1,284.73 / $1,764.54	Facility		$1,081.99	$1,284.73	$1,764.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.53 / $96.13 / $427.27	Professional		$60.53	$96.13	$427.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.54 / $616.16 / $4,296.87	Professional		$256.54	$616.16	$4,296.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $474.31 / $2,056.00 / $4,933.00	Facility		$474.31	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $306.07 / $545.45 / $3,287.36	Professional		$306.07	$545.45	$3,287.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,760.14 / $2,247.17 / $3,266.34	Professional		$1,760.14	$2,247.17	$3,266.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $595.54 / $2,750.70 / $4,487.97	Professional		$595.54	$2,750.70	$4,487.97