Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.42 / $4,112.00 / $4,933.00	Facility		$1,174.42	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $726.93 / $1,174.42 / $1,219.58	Professional		$726.93	$1,174.42	$1,219.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,055.63 / $3,586.41 / $4,859.02	Facility		$3,055.63	$3,586.41	$4,859.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.51 / $1,456.22 / $2,246.75	Professional		$263.51	$1,456.22	$2,246.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.82 / $1,005.73 / $1,915.19	Professional		$674.82	$1,005.73	$1,915.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $866.54 / $4,112.00 / $4,933.00	Facility		$866.54	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $866.54 / $962.31 / $1,341.22	Professional		$866.54	$962.31	$1,341.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.96 / $633.50 / $1,067.18	Professional		$102.96	$633.50	$1,067.18
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 $832.71 / $1,001.89 / $1,330.07	Professional		$832.71	$1,001.89	$1,330.07