Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,102.94 / $4,933.00 / $5,757.00	Facility		$1,102.94	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.54 / $1,101.28 / $1,145.35	Professional		$775.54	$1,101.28	$1,145.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,807.04 / $4,468.35 / $6,053.90	Facility		$3,807.04	$4,468.35	$6,053.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.10 / $859.49 / $1,506.14	Professional		$216.10	$859.49	$1,506.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $632.47 / $994.71 / $1,826.97	Professional		$632.47	$994.71	$1,826.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $866.87 / $4,933.00 / $5,757.00	Facility		$866.87	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $860.95 / $965.32 / $1,397.50	Professional		$860.95	$965.32	$1,397.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $589.37 / $988.95	Professional		$68.73	$589.37	$988.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $860.77 / $1,009.34 / $1,339.50	Professional		$860.77	$1,009.34	$1,339.50