Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,291.92 / $4,933.00 / $5,757.00	Facility		$1,291.92	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.83 / $1,285.86 / $1,341.61	Professional		$908.83	$1,285.86	$1,341.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25,084.10 / $29,441.35 / $39,888.36	Facility		$25,084.10	$29,441.35	$39,888.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.41 / $1,608.38 / $2,642.34	Professional		$260.41	$1,608.38	$2,642.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.43 / $1,166.40 / $2,138.62	Professional		$739.43	$1,166.40	$2,138.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,037.97 / $4,933.00 / $5,757.00	Facility		$1,037.97	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,009.40 / $1,141.76 / $1,675.62	Professional		$1,009.40	$1,141.76	$1,675.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $685.82 / $1,139.09	Professional		$68.73	$685.82	$1,139.09
United Facility/Professional Facility Modifier Low / Median / High Price $5,356.00 / $12,127.00 / $23,945.00	Facility		$5,356.00	$12,127.00	$23,945.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,026.52 / $1,220.33 / $1,650.46	Professional		$1,026.52	$1,220.33	$1,650.46