Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,114.83 / $2,877.00 / $4,933.00	Facility		$1,114.83	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.27 / $1,114.83 / $1,156.11	Professional		$806.27	$1,114.83	$1,156.11
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 $215.79 / $844.92 / $2,117.86	Professional		$215.79	$844.92	$2,117.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.00 / $794.23 / $1,602.33	Professional		$578.00	$794.23	$1,602.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $761.42 / $2,877.00 / $4,933.00	Facility		$761.42	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $761.42 / $890.70 / $1,210.46	Professional		$761.42	$890.70	$1,210.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.22 / $566.25 / $953.42	Professional		$102.22	$566.25	$953.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,748.88 / $6,978.00 / $10,614.92	Facility		$2,748.88	$6,978.00	$10,614.92
United Facility/Professional Professional Modifier Low / Median / High Price $731.93 / $899.57 / $1,187.80	Professional		$731.93	$899.57	$1,187.80