Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,101.51 / $4,112.00 / $4,933.00	Facility		$1,101.51	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.80 / $1,101.51 / $1,142.31	Professional		$795.80	$1,101.51	$1,142.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,073.82 / $3,582.65 / $4,853.92	Facility		$3,073.82	$3,582.65	$4,853.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.25 / $1,191.69 / $2,003.93	Professional		$213.25	$1,191.69	$2,003.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.27 / $805.98 / $1,584.31	Professional		$569.27	$805.98	$1,584.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $750.45 / $4,112.00 / $4,933.00	Facility		$750.45	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $750.45 / $880.01 / $1,243.58	Professional		$750.45	$880.01	$1,243.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.22 / $565.48 / $930.88	Professional		$102.22	$565.48	$930.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,500.00 / $10,556.00	Facility		$2,500.00	$7,500.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $711.58 / $851.49 / $1,169.44	Professional		$711.58	$851.49	$1,169.44