Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $978.92 / $4,112.00 / $4,933.00	Facility		$978.92	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $726.71 / $978.92 / $1,060.50	Professional		$726.71	$978.92	$1,060.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,200.40 / $2,568.53 / $3,499.05	Facility		$2,200.40	$2,568.53	$3,499.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.75 / $1,292.68 / $2,050.90	Professional		$219.75	$1,292.68	$2,050.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.97 / $948.43 / $1,722.78	Professional		$592.97	$948.43	$1,722.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $853.29 / $4,112.00 / $4,933.00	Facility		$853.29	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $853.29 / $920.82 / $1,257.61	Professional		$853.29	$920.82	$1,257.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $626.13 / $985.39	Professional		$68.56	$626.13	$985.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $848.16 / $1,020.32 / $1,375.92	Professional		$848.16	$1,020.32	$1,375.92