Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,053.95 / $4,933.00 / $4,933.00	Facility		$1,053.95	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.51 / $1,053.95 / $1,094.49	Professional		$738.51	$1,053.95	$1,094.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,088.07 / $4,772.00 / $6,500.78	Facility		$4,088.07	$4,772.00	$6,500.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.38 / $1,237.48 / $1,949.04	Professional		$210.38	$1,237.48	$1,949.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.23 / $919.92 / $1,715.96	Professional		$589.23	$919.92	$1,715.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $794.52 / $4,933.00 / $4,933.00	Facility		$794.52	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $794.52 / $913.69 / $1,320.81	Professional		$794.52	$913.69	$1,320.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $610.76 / $980.34	Professional		$68.56	$610.76	$980.34
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $789.80 / $949.63 / $1,332.79	Professional		$789.80	$949.63	$1,332.79