Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.90 / $3,507.60 / $9,665.59	Facility		$207.90	$3,507.60	$9,665.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.07 / $2,703.09 / $4,047.92	Professional		$162.07	$2,703.09	$4,047.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,181.20 / $7,220.06 / $11,365.14	Facility		$5,181.20	$7,220.06	$11,365.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.57 / $232.28 / $281.19	Professional		$41.57	$232.28	$281.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.83 / $580.60 / $4,643.02	Professional		$168.83	$580.60	$4,643.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $211.64 / $3,543.55 / $9,545.23	Facility		$211.64	$3,543.55	$9,545.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $169.84 / $3,507.60 / $4,449.49	Professional		$169.84	$3,507.60	$4,449.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,192.90 / $2,746.14 / $3,955.10	Professional		$2,192.90	$2,746.14	$3,955.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $10,359.00 / $12,767.00	Facility		$5,000.00	$10,359.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,489.21 / $4,505.05 / $5,762.33	Professional		$3,489.21	$4,505.05	$5,762.33