Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,273.72 / $4,112.00 / $4,933.00	Facility		$1,273.72	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.03 / $1,273.72 / $1,273.72	Professional		$974.03	$1,273.72	$1,273.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,499.23 / $4,078.47 / $5,525.68	Facility		$3,499.23	$4,078.47	$5,525.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.68 / $943.68 / $1,615.57	Professional		$256.68	$943.68	$1,615.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.05 / $1,050.91 / $3,924.49	Professional		$886.05	$1,050.91	$3,924.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $818.76 / $4,112.00 / $4,933.00	Facility		$818.76	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $818.76 / $1,039.19 / $1,586.15	Professional		$818.76	$1,039.19	$1,586.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.27 / $859.73 / $1,228.39	Professional		$65.27	$859.73	$1,228.39
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,702.00 / $12,726.00	Facility		$4,069.00	$8,702.00	$12,726.00
United Facility/Professional Professional Modifier Low / Median / High Price $943.56 / $1,131.42 / $1,495.99	Professional		$943.56	$1,131.42	$1,495.99