Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.10 / $4,933.00 / $4,933.00	Facility		$1,069.10	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $751.81 / $1,069.10 / $1,110.23	Professional		$751.81	$1,069.10	$1,110.23
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 $254.47 / $1,208.72 / $2,061.19	Professional		$254.47	$1,208.72	$2,061.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $614.20 / $961.83 / $1,772.86	Professional		$614.20	$961.83	$1,772.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $844.75 / $1,069.10 / $6,906.00	Facility		$844.75	$1,069.10	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $836.08 / $929.53 / $1,367.44	Professional		$836.08	$929.53	$1,367.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $585.16 / $958.77	Professional		$68.50	$585.16	$958.77
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 $842.18 / $980.71 / $1,362.49	Professional		$842.18	$980.71	$1,362.49