Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,059.43 / $4,933.00 / $4,933.00	Facility		$1,059.43	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.67 / $957.08 / $1,059.43	Professional		$754.67	$957.08	$1,059.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,011.44 / $4,452.42 / $6,147.01	Facility		$3,011.44	$4,452.42	$6,147.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.05 / $871.28 / $1,406.62	Professional		$222.05	$871.28	$1,406.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.37 / $1,120.63 / $2,085.94	Professional		$802.37	$1,120.63	$2,085.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $862.56 / $4,933.00 / $4,933.00	Facility		$862.56	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $839.69 / $905.60 / $1,266.58	Professional		$839.69	$905.60	$1,266.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.27 / $719.20 / $1,075.62	Professional		$65.27	$719.20	$1,075.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,035.29 / $3,869.00 / $5,525.00	Facility		$1,035.29	$3,869.00	$5,525.00
United Facility/Professional Professional Modifier Low / Median / High Price $862.54 / $1,141.76 / $1,759.46	Professional		$862.54	$1,141.76	$1,759.46