Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.09 / $4,112.00 / $4,933.00	Facility		$1,138.09	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $803.70 / $1,128.21 / $1,181.88	Professional		$803.70	$1,128.21	$1,181.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,425.36 / $1,681.34 / $2,266.59	Facility		$1,425.36	$1,681.34	$2,266.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.32 / $1,301.73 / $2,206.42	Professional		$247.32	$1,301.73	$2,206.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $644.23 / $1,044.57 / $1,877.00	Professional		$644.23	$1,044.57	$1,877.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $914.69 / $4,112.00 / $4,933.00	Facility		$914.69	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $866.17 / $989.91 / $1,471.92	Professional		$866.17	$989.91	$1,471.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $585.37 / $995.30	Professional		$68.56	$585.37	$995.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $836.89 / $1,056.28 / $1,467.02	Professional		$836.89	$1,056.28	$1,467.02