Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.22 / $4,933.00 / $4,933.00	Facility		$1,096.22	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.44 / $1,096.22 / $1,291.70	Professional		$818.44	$1,096.22	$1,291.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,011.10 / $5,482.82 / $12,643.83	Facility		$4,011.10	$5,482.82	$12,643.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.67 / $836.05 / $1,337.68	Professional		$214.67	$836.05	$1,337.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $730.24 / $1,270.17 / $1,592.24	Professional		$730.24	$1,270.17	$1,592.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $895.54 / $4,933.00 / $4,933.00	Facility		$895.54	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $892.05 / $930.84 / $1,211.63	Professional		$892.05	$930.84	$1,211.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $694.15 / $870.35 / $1,287.26	Professional		$694.15	$870.35	$1,287.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $947.97 / $1,193.39 / $1,585.53	Professional		$947.97	$1,193.39	$1,585.53