Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.42 / $4,112.00 / $4,933.00	Facility		$1,002.42	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $704.21 / $1,000.72 / $1,040.97	Professional		$704.21	$1,000.72	$1,040.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,244.51 / $3,808.10 / $5,159.37	Facility		$3,244.51	$3,808.10	$5,159.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.59 / $1,132.08 / $1,912.63	Professional		$202.59	$1,132.08	$1,912.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.91 / $919.78 / $1,661.08	Professional		$574.91	$919.78	$1,661.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $801.07 / $4,112.00 / $4,933.00	Facility		$801.07	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $783.86 / $881.17 / $1,300.14	Professional		$783.86	$881.17	$1,300.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $540.37 / $917.77	Professional		$68.50	$540.37	$917.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $789.25 / $928.22 / $1,255.39	Professional		$789.25	$928.22	$1,255.39