Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.16 / $4,112.00 / $4,933.00	Facility		$544.16	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.92 / $1,379.84 / $1,993.48	Professional		$450.92	$1,379.84	$1,993.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,677.04 / $6,626.82 / $9,027.54	Facility		$5,677.04	$6,626.82	$9,027.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.07 / $428.58 / $733.39	Professional		$134.07	$428.58	$733.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.36 / $1,156.05 / $2,682.82	Professional		$449.36	$1,156.05	$2,682.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,889.93 / $4,112.00 / $4,933.00	Facility		$1,889.93	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $566.85 / $1,889.93 / $2,600.63	Professional		$566.85	$1,889.93	$2,600.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $1,253.55 / $1,911.96	Professional		$194.98	$1,253.55	$1,911.96
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 $1,985.00 / $2,330.04 / $2,974.52	Professional		$1,985.00	$2,330.04	$2,974.52