Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,236.92 / $4,933.00 / $4,933.00	Facility		$1,236.92	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $869.35 / $1,229.99 / $1,284.49	Professional		$869.35	$1,229.99	$1,284.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,526.14 / $5,312.35 / $7,197.39	Facility		$4,526.14	$5,312.35	$7,197.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.97 / $1,391.34 / $2,482.44	Professional		$248.97	$1,391.34	$2,482.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.09 / $1,139.93 / $2,047.08	Professional		$707.09	$1,139.93	$2,047.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $922.57 / $1,236.92 / $4,933.00	Facility		$922.57	$1,236.92	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $922.57 / $1,060.95 / $1,585.99	Professional		$922.57	$1,060.95	$1,585.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $674.10 / $1,131.14	Professional		$68.73	$674.10	$1,131.14
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,395.00 / $13,752.00	Facility		$4,699.00	$10,395.00	$13,752.00
United Facility/Professional Professional Modifier Low / Median / High Price $970.54 / $1,135.42 / $1,592.66	Professional		$970.54	$1,135.42	$1,592.66