Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,223.97 / $4,933.00 / $4,933.00	Facility		$1,223.97	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $861.04 / $1,219.75 / $1,271.05	Professional		$861.04	$1,219.75	$1,271.05
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 $246.69 / $1,552.00 / $2,612.02	Professional		$246.69	$1,552.00	$2,612.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $700.70 / $1,134.54 / $2,027.23	Professional		$700.70	$1,134.54	$2,027.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $787.23 / $1,223.97 / $6,906.00	Facility		$787.23	$1,223.97	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $787.23 / $980.35 / $1,534.06	Professional		$787.23	$980.35	$1,534.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $653.49 / $1,117.48	Professional		$68.73	$653.49	$1,117.48
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 $927.83 / $1,193.99 / $1,568.29	Professional		$927.83	$1,193.99	$1,568.29