Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.15 / $4,112.00 / $4,933.00	Facility		$1,077.15	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.47 / $1,077.15 / $1,077.15	Professional		$758.47	$1,077.15	$1,077.15
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 $235.60 / $1,482.23 / $2,224.35	Professional		$235.60	$1,482.23	$2,224.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $754.75 / $900.04 / $3,619.57	Professional		$754.75	$900.04	$3,619.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $948.93 / $4,112.00 / $4,933.00	Facility		$948.93	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $947.41 / $994.23 / $1,281.05	Professional		$947.41	$994.23	$1,281.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $653.49 / $1,025.34	Professional		$68.01	$653.49	$1,025.34
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 $854.57 / $1,048.30 / $1,344.93	Professional		$854.57	$1,048.30	$1,344.93