Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.87 / $9,223.03 / $12,867.66	Facility		$991.87	$9,223.03	$12,867.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.87 / $991.87 / $1,053.85	Professional		$991.87	$991.87	$1,053.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,033.20 / $1,517.46 / $2,661.32	Facility		$1,033.20	$1,517.46	$2,661.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $981.54 / $1,074.53 / $1,394.82	Professional		$981.54	$1,074.53	$1,394.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,369.39	Professional		$1,053.85	$1,053.85	$1,369.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,043.04 / $9,829.86 / $12,867.66	Facility		$1,043.04	$9,829.86	$12,867.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $991.87 / $1,043.04 / $1,251.64	Professional		$991.87	$1,043.04	$1,251.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,033.20 / $1,113.58	Professional		$1,033.20	$1,033.20	$1,113.58