Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.63 / $4,933.00 / $4,933.00	Facility		$1,045.63	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.90 / $1,045.63 / $1,045.63	Professional		$768.90	$1,045.63	$1,045.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,940.46 / $4,599.71 / $6,266.07	Facility		$3,940.46	$4,599.71	$6,266.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.94 / $849.06 / $1,373.68	Professional		$209.94	$849.06	$1,373.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.92 / $948.00 / $1,684.19	Professional		$763.92	$948.00	$1,684.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $837.71 / $4,933.00 / $4,933.00	Facility		$837.71	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $837.71 / $931.40 / $1,345.44	Professional		$837.71	$931.40	$1,345.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $720.60 / $1,078.88	Professional		$65.66	$720.60	$1,078.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,849.00 / $9,202.00	Facility		$3,296.00	$7,849.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $902.73 / $1,111.60 / $1,405.19	Professional		$902.73	$1,111.60	$1,405.19