Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,092.10 / $4,112.00 / $4,933.00	Facility		$1,092.10	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.34 / $1,092.10 / $1,134.11	Professional		$776.34	$1,092.10	$1,134.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,088.07 / $4,798.18 / $6,500.78	Facility		$4,088.07	$4,798.18	$6,500.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.44 / $1,231.90 / $2,236.89	Professional		$220.44	$1,231.90	$2,236.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.70 / $993.01 / $1,906.68	Professional		$635.70	$993.01	$1,906.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $907.21 / $4,112.00 / $4,933.00	Facility		$907.21	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $847.93 / $962.32 / $1,416.47	Professional		$847.93	$962.32	$1,416.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $583.13 / $974.95	Professional		$68.56	$583.13	$974.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,702.00 / $10,652.00	Facility		$3,500.00	$8,702.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $860.81 / $1,029.55 / $1,371.02	Professional		$860.81	$1,029.55	$1,371.02