Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.49 / $4,933.00 / $6,906.00	Facility		$878.49	$4,933.00	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.08 / $1,309.21 / $2,398.23	Professional		$707.08	$1,309.21	$2,398.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,270.75 / $6,152.55 / $8,381.45	Facility		$5,270.75	$6,152.55	$8,381.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.65 / $675.22 / $1,277.65	Professional		$183.65	$675.22	$1,277.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.14 / $1,117.19 / $2,666.53	Professional		$650.14	$1,117.19	$2,666.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,930.03 / $4,933.00 / $6,906.00	Facility		$1,930.03	$4,933.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $818.44 / $1,930.03 / $2,603.10	Professional		$818.44	$1,930.03	$2,603.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.42 / $1,319.35 / $1,966.31	Professional		$130.42	$1,319.35	$1,966.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,812.09 / $2,443.50 / $3,429.20	Professional		$1,812.09	$2,443.50	$3,429.20