Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,185.76 / $4,112.00 / $4,933.00	Facility		$1,185.76	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.67 / $1,185.76 / $1,231.36	Professional		$850.67	$1,185.76	$1,231.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,609.85 / $8,931.73 / $12,101.08	Facility		$7,609.85	$8,931.73	$12,101.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.80 / $1,398.83 / $2,266.10	Professional		$237.80	$1,398.83	$2,266.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $681.21 / $1,040.20 / $2,029.70	Professional		$681.21	$1,040.20	$2,029.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $901.36 / $4,112.00 / $4,933.00	Facility		$901.36	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $901.36 / $1,009.52 / $1,483.64	Professional		$901.36	$1,009.52	$1,483.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $628.04 / $1,048.64	Professional		$102.82	$628.04	$1,048.64
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 $889.41 / $1,067.66 / $1,435.38	Professional		$889.41	$1,067.66	$1,435.38