Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.03 / $4,933.00 / $5,757.00	Facility		$1,175.03	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.52 / $817.03 / $1,218.55	Professional		$648.52	$817.03	$1,218.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,399.71 / $7,370.06 / $16,995.93	Facility		$5,399.71	$7,370.06	$16,995.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,573.30 / $4,022.86 / $6,275.66	Professional		$3,573.30	$4,022.86	$6,275.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.46 / $878.88 / $2,393.04	Professional		$679.46	$878.88	$2,393.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $868.00 / $4,933.00 / $5,757.00	Facility		$868.00	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $728.74 / $868.00 / $1,218.55	Professional		$728.74	$868.00	$1,218.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $432.43 / $432.43 / $432.43	Professional		$432.43	$432.43	$432.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,030.00 / $12,726.00	Facility		$3,500.00	$8,030.00	$12,726.00
United Facility/Professional Professional Modifier Low / Median / High Price $825.20 / $1,032.84 / $1,317.39	Professional		$825.20	$1,032.84	$1,317.39