Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.83 / $4,933.00 / $4,933.00	Facility		$1,084.83	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $704.93 / $1,084.83 / $1,126.55	Professional		$704.93	$1,084.83	$1,126.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.02 / $2,584.52 / $3,501.62	Facility		$2,202.02	$2,584.52	$3,501.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.62 / $1,332.04 / $2,209.40	Professional		$228.62	$1,332.04	$2,209.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.48 / $915.01 / $1,850.85	Professional		$623.48	$915.01	$1,850.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $681.67 / $1,084.83 / $6,906.00	Facility		$681.67	$1,084.83	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $681.67 / $847.04 / $1,309.27	Professional		$681.67	$847.04	$1,309.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.96 / $579.37 / $975.00	Professional		$102.96	$579.37	$975.00
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 $772.39 / $902.22 / $1,203.75	Professional		$772.39	$902.22	$1,203.75