Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,294.15 / $4,933.00 / $5,757.00	Facility		$1,294.15	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.78 / $1,294.15 / $1,343.93	Professional		$915.78	$1,294.15	$1,343.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.39 / $5,597.88 / $7,584.24	Facility		$4,769.39	$5,597.88	$7,584.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.51 / $1,076.55 / $1,752.97	Professional		$269.51	$1,076.55	$1,752.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.99 / $1,167.67 / $2,370.83	Professional		$750.99	$1,167.67	$2,370.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,039.41 / $4,933.00 / $5,757.00	Facility		$1,039.41	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $998.68 / $1,141.34 / $1,678.51	Professional		$998.68	$1,141.34	$1,678.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.47 / $696.68 / $1,166.09	Professional		$103.47	$696.68	$1,166.09
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 $1,039.41 / $1,250.60 / $1,649.67	Professional		$1,039.41	$1,250.60	$1,649.67