Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,355.95 / $4,933.00 / $4,933.00	Facility		$1,355.95	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.42 / $1,349.83 / $1,408.10	Professional		$953.42	$1,349.83	$1,408.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,897.24 / $15,137.57 / $20,509.00	Facility		$12,897.24	$15,137.57	$20,509.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.17 / $1,526.63 / $2,651.53	Professional		$314.17	$1,526.63	$2,651.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.38 / $1,259.67 / $2,244.57	Professional		$776.38	$1,259.67	$2,244.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $992.32 / $1,355.95 / $6,906.00	Facility		$992.32	$1,355.95	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $992.32 / $1,141.16 / $1,758.67	Professional		$992.32	$1,141.16	$1,758.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.57 / $714.08 / $1,205.45	Professional		$103.57	$714.08	$1,205.45
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 $1,102.18 / $1,270.96 / $1,956.59	Professional		$1,102.18	$1,270.96	$1,956.59