Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.25 / $3,470.90 / $12,199.45	Facility		$311.25	$3,470.90	$12,199.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.47 / $2,355.64 / $3,470.90	Professional		$212.47	$2,355.64	$3,470.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,802.14 / $6,881.28 / $16,349.64	Facility		$4,802.14	$6,881.28	$16,349.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $363.03 / $453.79	Professional		$72.59	$363.03	$453.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.32 / $1,930.07 / $4,795.33	Professional		$246.32	$1,930.07	$4,795.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $316.86 / $3,470.90 / $12,199.45	Facility		$316.86	$3,470.90	$12,199.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $260.92 / $3,081.62 / $3,541.02	Professional		$260.92	$3,081.62	$3,541.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,132.99 / $2,668.52 / $3,872.94	Professional		$2,132.99	$2,668.52	$3,872.94
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 $3,557.80 / $4,245.00 / $5,362.68	Professional		$3,557.80	$4,245.00	$5,362.68