Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,278.02 / $4,933.00 / $4,933.00	Facility		$1,278.02	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $898.87 / $1,121.59 / $1,327.17	Professional		$898.87	$1,121.59	$1,327.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,700.98 / $16,080.92 / $21,787.09	Facility		$13,700.98	$16,080.92	$21,787.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.64 / $1,277.32 / $2,497.87	Professional		$267.64	$1,277.32	$2,497.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.24 / $1,237.41 / $2,115.92	Professional		$731.24	$1,237.41	$2,115.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,041.64 / $1,278.02 / $6,906.00	Facility		$1,041.64	$1,278.02	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $997.63 / $1,140.15 / $1,657.59	Professional		$997.63	$1,140.15	$1,657.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $674.10 / $1,131.14	Professional		$68.73	$674.10	$1,131.14
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 $1,015.91 / $1,249.82 / $1,639.23	Professional		$1,015.91	$1,249.82	$1,639.23