Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,033.58 / $1,033.59 / $4,933.00	Facility		$1,033.58	$1,033.59	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.15 / $861.08 / $1,081.77	Professional		$705.15	$861.08	$1,081.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,319.05 / $3,940.96 / $5,412.82	Facility		$3,319.05	$3,940.96	$5,412.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.41 / $1,207.09 / $1,901.19	Professional		$213.41	$1,207.09	$1,901.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $696.44 / $971.54 / $1,907.58	Professional		$696.44	$971.54	$1,907.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $802.32 / $1,033.59 / $4,933.00	Facility		$802.32	$1,033.59	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $767.47 / $882.26 / $1,283.98	Professional		$767.47	$882.26	$1,283.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $702.23 / $1,058.44	Professional		$65.50	$702.23	$1,058.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $8,911.00	Facility		$2,500.00	$7,780.00	$8,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $795.42 / $1,032.90 / $1,305.15	Professional		$795.42	$1,032.90	$1,305.15