Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,054.60 / $1,054.60 / $6,906.00	Facility		$1,054.60	$1,054.60	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.47 / $1,054.60 / $1,054.60	Professional		$744.47	$1,054.60	$1,054.60
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 $230.95 / $1,290.57 / $2,266.58	Professional		$230.95	$1,290.57	$2,266.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.15 / $881.87 / $3,556.95	Professional		$740.15	$881.87	$3,556.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $904.49 / $1,054.60 / $6,906.00	Facility		$904.49	$1,054.60	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $904.49 / $974.63 / $1,235.39	Professional		$904.49	$974.63	$1,235.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $642.78 / $1,036.38	Professional		$68.25	$642.78	$1,036.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,243.34 / $5,202.00 / $8,339.00	Facility		$2,243.34	$5,202.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $834.75 / $983.26 / $1,270.32	Professional		$834.75	$983.26	$1,270.32