Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.50 / $4,933.00 / $4,933.00	Facility		$1,194.50	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $760.39 / $1,187.89 / $1,240.44	Professional		$760.39	$1,187.89	$1,240.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,748.48 / $4,399.60 / $5,960.78	Facility		$3,748.48	$4,399.60	$5,960.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.51 / $1,471.36 / $2,440.46	Professional		$240.51	$1,471.36	$2,440.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $683.17 / $1,002.65 / $1,976.79	Professional		$683.17	$1,002.65	$1,976.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $759.41 / $1,194.50 / $4,933.00	Facility		$759.41	$1,194.50	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $759.41 / $946.37 / $1,449.71	Professional		$759.41	$946.37	$1,449.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $633.33 / $1,068.32	Professional		$68.73	$633.33	$1,068.32
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $843.64 / $1,006.00 / $1,326.02	Professional		$843.64	$1,006.00	$1,326.02