Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,160.30 / $4,933.00 / $5,757.00	Facility		$1,160.30	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.96 / $1,160.30 / $1,204.92	Professional		$810.96	$1,160.30	$1,204.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.39 / $5,567.33 / $7,584.24	Facility		$4,769.39	$5,567.33	$7,584.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.29 / $1,395.84 / $2,198.44	Professional		$237.29	$1,395.84	$2,198.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.13 / $993.92 / $1,895.73	Professional		$659.13	$993.92	$1,895.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $905.71 / $4,933.00 / $5,757.00	Facility		$905.71	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $905.71 / $1,022.37 / $1,492.46	Professional		$905.71	$1,022.37	$1,492.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.78 / $683.78 / $1,109.12	Professional		$101.78	$683.78	$1,109.12
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 $899.38 / $1,070.64 / $1,486.48	Professional		$899.38	$1,070.64	$1,486.48