Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,182.50 / $4,933.00 / $5,757.00	Facility		$1,182.50	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.36 / $1,179.28 / $1,227.99	Professional		$831.36	$1,179.28	$1,227.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,756.60 / $4,409.14 / $5,973.68	Facility		$3,756.60	$4,409.14	$5,973.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.11 / $920.92 / $2,273.37	Professional		$248.11	$920.92	$2,273.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $677.42 / $1,017.15 / $1,958.12	Professional		$677.42	$1,017.15	$1,958.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $942.89 / $4,933.00 / $5,757.00	Facility		$942.89	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $923.58 / $1,037.17 / $1,531.15	Professional		$923.58	$1,037.17	$1,531.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $641.44 / $1,091.71	Professional		$68.66	$641.44	$1,091.71
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $9,975.00 / $12,767.00	Facility		$4,635.00	$9,975.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $935.95 / $1,085.73 / $1,324.09	Professional		$935.95	$1,085.73	$1,324.09