Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.77 / $2,877.00 / $4,933.00	Facility		$1,169.77	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.92 / $997.86 / $1,214.76	Professional		$649.92	$997.86	$1,214.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,313.97 / $6,237.04 / $8,450.20	Facility		$5,313.97	$6,237.04	$8,450.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.23 / $1,163.88 / $2,301.46	Professional		$246.23	$1,163.88	$2,301.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $657.24 / $880.14 / $1,630.20	Professional		$657.24	$880.14	$1,630.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $677.66 / $2,877.00 / $4,933.00	Facility		$677.66	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $677.66 / $848.24 / $1,275.49	Professional		$677.66	$848.24	$1,275.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $622.84 / $1,048.28	Professional		$102.82	$622.84	$1,048.28
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 $678.00 / $835.55 / $1,129.96	Professional		$678.00	$835.55	$1,129.96