Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,295.56 / $4,933.00 / $4,933.00	Facility		$1,295.56	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.53 / $1,088.97 / $1,345.39	Professional		$828.53	$1,088.97	$1,345.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,968.13 / $5,831.13 / $7,900.25	Facility		$4,968.13	$5,831.13	$7,900.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.93 / $1,020.18 / $1,738.08	Professional		$256.93	$1,020.18	$1,738.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $749.29 / $1,058.38 / $2,194.75	Professional		$749.29	$1,058.38	$2,194.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $937.20 / $1,295.56 / $6,906.00	Facility		$937.20	$1,295.56	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $937.20 / $1,071.83 / $1,529.98	Professional		$937.20	$1,071.83	$1,529.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $687.41 / $1,136.28	Professional		$102.82	$687.41	$1,136.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,806.00 / $8,339.00	Facility		$1,450.00	$5,806.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $937.20 / $1,101.02 / $1,478.35	Professional		$937.20	$1,101.02	$1,478.35