Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,021.91 / $4,933.00 / $4,933.00	Facility		$1,021.91	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.51 / $1,021.91 / $1,030.50	Professional		$722.51	$1,021.91	$1,030.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,817.72 / $2,121.83 / $2,890.51	Facility		$1,817.72	$2,121.83	$2,890.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.09 / $1,224.33 / $1,675.41	Professional		$219.09	$1,224.33	$1,675.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.44 / $891.75 / $1,699.76	Professional		$768.44	$891.75	$1,699.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $917.00 / $4,933.00 / $4,933.00	Facility		$917.00	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $917.00 / $977.68 / $1,325.50	Professional		$917.00	$977.68	$1,325.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.98 / $505.57 / $932.71	Professional		$138.98	$505.57	$932.71
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 $918.81 / $1,067.96 / $1,403.99	Professional		$918.81	$1,067.96	$1,403.99