Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,394.33 / $4,933.00 / $4,933.00	Facility		$1,394.33	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.59 / $1,381.18 / $1,447.96	Professional		$975.59	$1,381.18	$1,447.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.31 / $204.24 / $290.98	Facility		$174.31	$204.24	$290.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,006.37 / $11,212.05 / $18,588.40	Professional		$2,006.37	$11,212.05	$18,588.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $798.73 / $1,261.86 / $2,288.65	Professional		$798.73	$1,261.86	$2,288.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,084.53 / $1,394.33 / $6,906.00	Facility		$1,084.53	$1,394.33	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,015.20 / $1,084.53 / $1,447.96	Professional		$1,015.20	$1,084.53	$1,447.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $100.00 / $602.41	Professional		$75.00	$100.00	$602.41
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 $989.24 / $1,210.27 / $1,957.19	Professional		$989.24	$1,210.27	$1,957.19