Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,268.15 / $3,268.15 / $3,268.15	Facility		$3,268.15	$3,268.15	$3,268.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,752.47 / $3,268.15 / $3,268.15	Professional		$1,752.47	$3,268.15	$3,268.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,296.69 / $4,688.52 / $8,337.41	Facility		$3,296.69	$4,688.52	$8,337.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.37 / $75.30 / $96.81	Professional		$57.37	$75.30	$96.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $486.93 / $486.93 / $486.93	Facility		$486.93	$486.93	$486.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.38 / $602.57 / $1,111.29	Professional		$347.38	$602.57	$1,111.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $420.03 / $420.03 / $3,268.15	Facility		$420.03	$420.03	$3,268.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $420.03 / $682.20 / $3,268.15	Professional		$420.03	$682.20	$3,268.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $37.31 / $352.88	Professional		$32.34	$37.31	$352.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,467.09 / $2,467.09 / $2,861.66	Facility		$2,467.09	$2,467.09	$2,861.66
United Facility/Professional Professional Modifier Low / Median / High Price $549.77 / $1,337.96 / $3,260.10	Professional		$549.77	$1,337.96	$3,260.10