Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,297.96 / $4,112.00 / $4,933.00	Facility		$1,297.96	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.78 / $1,294.59 / $1,347.89	Professional		$912.78	$1,294.59	$1,347.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,624.89 / $4,254.56 / $5,764.25	Facility		$3,624.89	$4,254.56	$5,764.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.93 / $1,463.71 / $2,657.79	Professional		$261.93	$1,463.71	$2,657.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.76 / $1,198.14 / $2,149.21	Professional		$743.76	$1,198.14	$2,149.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $957.25 / $4,112.00 / $4,933.00	Facility		$957.25	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $957.25 / $1,100.83 / $1,677.15	Professional		$957.25	$1,100.83	$1,677.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $701.60 / $1,173.24	Professional		$68.73	$701.60	$1,173.24
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 $1,012.47 / $1,255.39 / $1,654.67	Professional		$1,012.47	$1,255.39	$1,654.67