Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.33 / $4,112.00 / $4,933.00	Facility		$1,121.33	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.36 / $1,121.33 / $1,121.33	Professional		$780.36	$1,121.33	$1,121.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,189.15 / $3,717.07 / $5,036.04	Facility		$3,189.15	$3,717.07	$5,036.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.52 / $1,033.72 / $1,591.06	Professional		$282.52	$1,033.72	$1,591.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.03 / $977.93 / $3,874.12	Professional		$811.03	$977.93	$3,874.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $960.87 / $4,112.00 / $4,933.00	Facility		$960.87	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $960.87 / $1,068.72 / $1,374.46	Professional		$960.87	$1,068.72	$1,374.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $702.75 / $1,114.31	Professional		$68.01	$702.75	$1,114.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,780.00 / $10,556.00	Facility		$3,296.00	$7,780.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $887.05 / $1,073.31 / $1,360.17	Professional		$887.05	$1,073.31	$1,360.17