Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.09 / $4,933.00 / $5,757.00	Facility		$1,011.09	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.53 / $1,011.09 / $1,049.98	Professional		$708.53	$1,011.09	$1,049.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,582.55 / $3,014.61 / $4,106.72	Facility		$2,582.55	$3,014.61	$4,106.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.31 / $1,106.54 / $1,921.89	Professional		$221.31	$1,106.54	$1,921.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.70 / $883.69 / $1,649.54	Professional		$565.70	$883.69	$1,649.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $749.32 / $4,933.00 / $5,757.00	Facility		$749.32	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $749.32 / $861.18 / $1,334.63	Professional		$749.32	$861.18	$1,334.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $581.56 / $939.77	Professional		$68.66	$581.56	$939.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $740.93 / $926.93 / $1,269.78	Professional		$740.93	$926.93	$1,269.78