Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,022.17 / $4,933.00 / $6,853.00	Facility		$1,022.17	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.29 / $1,022.17 / $1,022.17	Professional		$753.29	$1,022.17	$1,022.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,673.62 / $4,288.22 / $5,841.74	Facility		$3,673.62	$4,288.22	$5,841.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.45 / $781.71 / $1,286.23	Professional		$204.45	$781.71	$1,286.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $746.29 / $908.50 / $1,655.96	Professional		$746.29	$908.50	$1,655.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $811.06 / $4,933.00 / $6,853.00	Facility		$811.06	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $811.06 / $904.74 / $1,309.14	Professional		$811.06	$904.74	$1,309.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $693.30 / $1,056.45	Professional		$65.66	$693.30	$1,056.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $864.36 / $1,061.99 / $1,458.27	Professional		$864.36	$1,061.99	$1,458.27