Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,098.13 / $4,112.00 / $4,933.00	Facility		$1,098.13	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.67 / $1,098.13 / $1,098.13	Professional		$773.67	$1,098.13	$1,098.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,733.56 / $3,186.06 / $4,316.60	Facility		$2,733.56	$3,186.06	$4,316.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.78 / $1,510.99 / $2,225.13	Professional		$249.78	$1,510.99	$2,225.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.44 / $936.05 / $3,690.35	Professional		$769.44	$936.05	$3,690.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $933.19 / $4,112.00 / $4,933.00	Facility		$933.19	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $933.19 / $1,013.87 / $1,351.91	Professional		$933.19	$1,013.87	$1,351.91
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 $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 $853.26 / $1,025.80 / $1,351.37	Professional		$853.26	$1,025.80	$1,351.37