Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,046.39 / $4,112.00 / $4,933.00	Facility		$1,046.39	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.86 / $1,046.39 / $1,252.61	Professional		$702.86	$1,046.39	$1,252.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,807.30 / $4,468.64 / $6,054.32	Facility		$3,807.30	$4,468.64	$6,054.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.71 / $890.88 / $1,378.67	Professional		$210.71	$890.88	$1,378.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.01 / $952.93 / $1,856.45	Professional		$599.01	$952.93	$1,856.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $838.15 / $4,112.00 / $4,933.00	Facility		$838.15	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $816.88 / $933.58 / $1,381.89	Professional		$816.88	$933.58	$1,381.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $614.22 / $983.39	Professional		$68.50	$614.22	$983.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,702.00 / $10,652.00	Facility		$3,500.00	$8,702.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $822.07 / $949.44 / $1,355.74	Professional		$822.07	$949.44	$1,355.74