Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.50 / $2,553.91 / $5,259.26	Facility		$772.50	$2,553.91	$5,259.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.64 / $123.64 / $1,204.59	Professional		$123.64	$123.64	$1,204.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.01 / $1,109.94 / $2,564.12	Facility		$812.01	$1,109.94	$2,564.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.24 / $313.24 / $5,107.71	Professional		$313.24	$313.24	$5,107.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $251.66 / $2,056.00 / $5,259.26	Facility		$251.66	$2,056.00	$5,259.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $251.66 / $251.66 / $347.75	Professional		$251.66	$251.66	$347.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
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