Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,016.84 / $4,933.00 / $4,933.00	Facility		$1,016.84	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.54 / $1,016.84 / $1,055.95	Professional		$687.54	$1,016.84	$1,055.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,851.90 / $3,347.30 / $4,535.05	Facility		$2,851.90	$3,347.30	$4,535.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.50 / $1,262.76 / $2,074.53	Professional		$228.50	$1,262.76	$2,074.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.32 / $866.14 / $1,725.50	Professional		$585.32	$866.14	$1,725.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $703.28 / $1,016.84 / $4,933.00	Facility		$703.28	$1,016.84	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $703.28 / $813.48 / $1,226.77	Professional		$703.28	$813.48	$1,226.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $533.09 / $900.72	Professional		$68.50	$533.09	$900.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,806.00 / $8,339.00	Facility		$1,450.00	$5,806.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $726.11 / $868.88 / $1,175.13	Professional		$726.11	$868.88	$1,175.13