Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,144.72 / $2,877.00 / $4,933.00	Facility		$1,144.72	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.01 / $916.66 / $1,188.75	Professional		$805.01	$916.66	$1,188.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,313.97 / $6,237.04 / $8,450.20	Facility		$5,313.97	$6,237.04	$8,450.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.15 / $1,290.57 / $2,343.40	Professional		$224.15	$1,290.57	$2,343.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.21 / $1,035.91 / $1,896.07	Professional		$656.21	$1,035.91	$1,896.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $920.09 / $2,740.00 / $4,933.00	Facility		$920.09	$2,740.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $852.22 / $1,003.13 / $1,491.36	Professional		$852.22	$1,003.13	$1,491.36
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 $4,635.00 / $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 $931.83 / $1,094.91 / $1,459.97	Professional		$931.83	$1,094.91	$1,459.97