Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,062.58 / $4,933.00 / $5,757.00	Facility		$1,062.58	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.59 / $1,031.24 / $1,103.46	Professional		$730.59	$1,031.24	$1,103.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,600.40 / $4,225.81 / $5,725.30	Facility		$3,600.40	$4,225.81	$5,725.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.52 / $1,198.80 / $2,025.33	Professional		$214.52	$1,198.80	$2,025.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $609.10 / $943.36 / $1,716.80	Professional		$609.10	$943.36	$1,716.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $845.10 / $4,933.00 / $5,757.00	Facility		$845.10	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $830.35 / $929.61 / $1,344.64	Professional		$830.35	$929.61	$1,344.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $585.16 / $957.53	Professional		$68.50	$585.16	$957.53
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 $824.80 / $988.94 / $1,462.35	Professional		$824.80	$988.94	$1,462.35