Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,126.24 / $1,167.95 / $6,906.00	Facility		$1,126.24	$1,167.95	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.96 / $1,048.08 / $1,167.95	Professional		$817.96	$1,048.08	$1,167.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,532.37 / $4,117.10 / $5,578.02	Facility		$3,532.37	$4,117.10	$5,578.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.19 / $1,360.54 / $2,161.90	Professional		$246.19	$1,360.54	$2,161.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.22 / $897.50 / $1,719.91	Professional		$666.22	$897.50	$1,719.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $824.63 / $1,126.24 / $6,906.00	Facility		$824.63	$1,126.24	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $824.63 / $954.60 / $1,432.54	Professional		$824.63	$954.60	$1,432.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $594.38 / $979.94	Professional		$68.38	$594.38	$979.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,708.00 / $8,884.00	Facility		$1,450.00	$5,708.00	$8,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $839.48 / $1,012.19 / $1,327.79	Professional		$839.48	$1,012.19	$1,327.79