Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.99 / $4,112.00 / $4,933.00	Facility		$1,162.99	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.22 / $1,160.84 / $1,207.72	Professional		$818.22	$1,160.84	$1,207.72
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 $234.75 / $1,311.86 / $2,340.63	Professional		$234.75	$1,311.86	$2,340.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.90 / $1,121.58 / $1,927.17	Professional		$666.90	$1,121.58	$1,927.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $942.50 / $4,112.00 / $4,933.00	Facility		$942.50	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $908.56 / $1,036.75 / $1,457.63	Professional		$908.56	$1,036.75	$1,457.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $641.75 / $1,061.95	Professional		$68.56	$641.75	$1,061.95
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 $919.29 / $1,144.19 / $1,486.55	Professional		$919.29	$1,144.19	$1,486.55