Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,149.49 / $4,933.00 / $5,757.00	Facility		$1,149.49	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.74 / $1,140.33 / $1,193.70	Professional		$805.74	$1,140.33	$1,193.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,176.37 / $4,901.83 / $6,641.20	Facility		$4,176.37	$4,901.83	$6,641.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.95 / $1,364.46 / $2,210.44	Professional		$231.95	$1,364.46	$2,210.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,048.16 / $2,573.94 / $2,828.78	Professional		$1,048.16	$2,573.94	$2,828.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $924.20 / $4,933.00 / $5,757.00	Facility		$924.20	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $898.87 / $1,027.28 / $1,483.13	Professional		$898.87	$1,027.28	$1,483.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $612.89 / $1,044.79	Professional		$68.73	$612.89	$1,044.79
United Facility/Professional Facility Modifier Low / Median / High Price $4,561.00 / $8,995.00 / $12,767.00	Facility		$4,561.00	$8,995.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $905.32 / $1,084.91 / $1,462.99	Professional		$905.32	$1,084.91	$1,462.99