Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,040.05 / $4,933.00 / $5,757.00	Facility		$1,040.05	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.24 / $1,040.05 / $1,395.28	Professional		$823.24	$1,040.05	$1,395.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,802.16 / $11,802.16 / $11,802.16	Facility		$11,802.16	$11,802.16	$11,802.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,212.05 / $12,392.27 / $14,752.70	Professional		$11,212.05	$12,392.27	$14,752.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.23 / $705.23 / $775.06	Professional		$705.23	$705.23	$775.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,465.72 / $4,933.00 / $5,757.00	Facility		$1,465.72	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,040.05 / $1,465.72 / $1,820.83	Professional		$1,040.05	$1,465.72	$1,820.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $100.00	Professional		$30.00	$75.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,201.24 / $1,620.14 / $2,241.19	Professional		$1,201.24	$1,620.14	$2,241.19