Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,005.77 / $4,933.00 / $6,853.00	Facility		$1,005.77	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.52 / $908.72 / $1,005.77	Professional		$692.52	$908.72	$1,005.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,566.18 / $4,234.41 / $5,815.86	Facility		$3,566.18	$4,234.41	$5,815.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.74 / $1,112.21 / $1,346.36	Professional		$210.74	$1,112.21	$1,346.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $730.48 / $984.00 / $1,851.00	Professional		$730.48	$984.00	$1,851.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $806.90 / $4,933.00 / $6,853.00	Facility		$806.90	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $783.20 / $877.05 / $1,251.00	Professional		$783.20	$877.05	$1,251.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $668.32 / $1,013.36	Professional		$65.50	$668.32	$1,013.36
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,036.00	Facility		$850.00	$4,645.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $816.35 / $1,011.31 / $1,306.16	Professional		$816.35	$1,011.31	$1,306.16