Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.65 / $4,933.00 / $4,933.00	Facility		$1,426.65	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $859.53 / $1,344.51 / $1,481.52	Professional		$859.53	$1,344.51	$1,481.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,252.84 / $4,991.58 / $6,762.80	Facility		$4,252.84	$4,991.58	$6,762.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.14 / $1,803.85 / $2,786.69	Professional		$298.14	$1,803.85	$2,786.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $779.36 / $1,196.23 / $2,345.40	Professional		$779.36	$1,196.23	$2,345.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $742.68 / $1,426.65 / $4,933.00	Facility		$742.68	$1,426.65	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $742.68 / $1,070.07 / $1,709.47	Professional		$742.68	$1,070.07	$1,709.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $820.18 / $1,356.40	Professional		$132.94	$820.18	$1,356.40
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,327.00	Facility		$850.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $856.96 / $1,057.40 / $1,507.92	Professional		$856.96	$1,057.40	$1,507.92