Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,354.97 / $4,933.00 / $4,933.00	Facility		$1,354.97	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $860.13 / $1,354.97 / $1,407.09	Professional		$860.13	$1,354.97	$1,407.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,614.21 / $3,051.59 / $4,157.10	Facility		$2,614.21	$3,051.59	$4,157.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.52 / $1,103.66 / $1,746.32	Professional		$317.52	$1,103.66	$1,746.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $803.80 / $1,310.05 / $2,017.94	Professional		$803.80	$1,310.05	$2,017.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $984.57 / $4,933.00 / $4,933.00	Facility		$984.57	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $984.57 / $1,151.94 / $1,555.26	Professional		$984.57	$1,151.94	$1,555.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $770.28 / $1,289.28	Professional		$133.18	$770.28	$1,289.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $921.83 / $1,262.51 / $1,702.78	Professional		$921.83	$1,262.51	$1,702.78