Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,164.90 / $4,933.00 / $4,933.00	Facility		$1,164.90	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.12 / $931.53 / $1,209.70	Professional		$836.12	$931.53	$1,209.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,313.97 / $6,237.04 / $8,450.20	Facility		$5,313.97	$6,237.04	$8,450.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.35 / $1,376.42 / $2,209.16	Professional		$243.35	$1,376.42	$2,209.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $670.22 / $1,044.22 / $1,998.48	Professional		$670.22	$1,044.22	$1,998.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $888.57 / $1,164.90 / $6,906.00	Facility		$888.57	$1,164.90	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $888.57 / $977.42 / $1,451.71	Professional		$888.57	$977.42	$1,451.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $611.50 / $1,040.17	Professional		$102.82	$611.50	$1,040.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $888.57 / $1,049.71 / $1,472.40	Professional		$888.57	$1,049.71	$1,472.40