Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,014.06 / $4,112.00 / $4,933.00	Facility		$1,014.06	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $783.34 / $1,014.06 / $1,014.06	Professional		$783.34	$1,014.06	$1,014.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,185.19 / $3,718.08 / $5,065.05	Facility		$3,185.19	$3,718.08	$5,065.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.60 / $823.37 / $1,556.93	Professional		$203.60	$823.37	$1,556.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.17 / $985.40 / $1,634.39	Professional		$741.17	$985.40	$1,634.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $893.08 / $4,112.00 / $4,933.00	Facility		$893.08	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $893.08 / $903.15 / $1,386.46	Professional		$893.08	$903.15	$1,386.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $688.49 / $1,040.53	Professional		$65.66	$688.49	$1,040.53
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 $905.98 / $1,077.27 / $1,351.35	Professional		$905.98	$1,077.27	$1,351.35