Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.69 / $4,933.00 / $4,933.00	Facility		$1,068.69	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.11 / $941.66 / $1,068.69	Professional		$796.11	$941.66	$1,068.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.55 / $5,493.44 / $7,363.81	Facility		$3,715.55	$5,493.44	$7,363.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.27 / $882.78 / $1,371.44	Professional		$241.27	$882.78	$1,371.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.15 / $1,033.28 / $2,128.29	Professional		$695.15	$1,033.28	$2,128.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $879.57 / $4,933.00 / $4,933.00	Facility		$879.57	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $841.60 / $940.84 / $1,291.77	Professional		$841.60	$940.84	$1,291.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $709.76 / $1,069.99	Professional		$65.50	$709.76	$1,069.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $12,867.00	Facility		$4,069.00	$8,847.00	$12,867.00
United Facility/Professional Professional Modifier Low / Median / High Price $845.84 / $1,105.85 / $1,525.11	Professional		$845.84	$1,105.85	$1,525.11