Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.52 / $2,629.03 / $4,933.00	Facility		$414.52	$2,629.03	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.10 / $430.46 / $3,046.73	Professional		$158.10	$430.46	$3,046.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $488.52 / $488.52 / $732.78	Facility		$488.52	$488.52	$732.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.86 / $339.61 / $828.04	Professional		$88.86	$339.61	$828.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.71 / $403.35 / $2,901.39	Professional		$186.71	$403.35	$2,901.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $196.68 / $2,056.00 / $6,906.00	Facility		$196.68	$2,056.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $196.68 / $430.46 / $2,866.65	Professional		$196.68	$430.46	$2,866.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $226.46 / $1,729.80 / $2,602.19	Professional		$226.46	$1,729.80	$2,602.19
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $11,152.00 / $31,629.00	Facility		$4,635.00	$11,152.00	$31,629.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.91 / $256.80 / $2,406.30	Professional		$222.91	$256.80	$2,406.30