Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,102.08 / $4,112.00 / $4,933.00	Facility		$1,102.08	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.62 / $1,102.08 / $1,102.08	Professional		$772.62	$1,102.08	$1,102.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,866.97 / $3,341.55 / $4,527.27	Facility		$2,866.97	$3,341.55	$4,527.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.12 / $1,360.59 / $2,255.69	Professional		$272.12	$1,360.59	$2,255.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.25 / $949.85 / $3,746.17	Professional		$763.25	$949.85	$3,746.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $932.04 / $4,112.00 / $4,933.00	Facility		$932.04	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $932.04 / $1,026.28 / $1,318.43	Professional		$932.04	$1,026.28	$1,318.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $674.11 / $1,048.64	Professional		$68.25	$674.11	$1,048.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,806.00 / $8,884.00	Facility		$2,524.00	$5,806.00	$8,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $858.47 / $1,041.10 / $1,364.98	Professional		$858.47	$1,041.10	$1,364.98