Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.59 / $1,065.98 / $4,933.00	Facility		$902.59	$1,065.98	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.79 / $920.91 / $1,015.22	Professional		$626.79	$920.91	$1,015.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,043.66 / $2,398.65 / $3,249.79	Facility		$2,043.66	$2,398.65	$3,249.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.85 / $1,106.07 / $1,816.28	Professional		$205.85	$1,106.07	$1,816.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.28 / $849.03 / $1,670.64	Professional		$565.28	$849.03	$1,670.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $779.54 / $977.62 / $4,933.00	Facility		$779.54	$977.62	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $764.19 / $857.49 / $1,192.31	Professional		$764.19	$857.49	$1,192.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $630.10 / $960.34	Professional		$65.66	$630.10	$960.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,048.00 / $7,355.00	Facility		$1,450.00	$5,048.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $721.36 / $872.60 / $1,252.70	Professional		$721.36	$872.60	$1,252.70