Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,346.68 / $4,112.00 / $4,933.00	Facility		$1,346.68	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $946.82 / $1,343.92 / $1,398.47	Professional		$946.82	$1,343.92	$1,398.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,271.61 / $7,118.38 / $16,716.57	Facility		$5,271.61	$7,118.38	$16,716.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.25 / $1,521.43 / $2,672.03	Professional		$272.25	$1,521.43	$2,672.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.75 / $1,205.83 / $2,231.76	Professional		$772.75	$1,205.83	$2,231.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,081.63 / $4,112.00 / $4,933.00	Facility		$1,081.63	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,053.64 / $1,204.16 / $1,690.34	Professional		$1,053.64	$1,204.16	$1,690.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $713.61 / $1,205.45	Professional		$68.66	$713.61	$1,205.45
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 $1,070.67 / $1,261.82 / $1,706.56	Professional		$1,070.67	$1,261.82	$1,706.56