Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.24 / $4,933.00 / $6,853.00	Facility		$1,080.24	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.45 / $1,080.24 / $1,170.26	Professional		$802.45	$1,080.24	$1,170.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.39 / $5,567.33 / $7,584.24	Facility		$4,769.39	$5,567.33	$7,584.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.89 / $1,369.94 / $2,465.89	Professional		$232.89	$1,369.94	$2,465.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $654.63 / $1,049.86 / $1,896.55	Professional		$654.63	$1,049.86	$1,896.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $944.56 / $4,933.00 / $6,853.00	Facility		$944.56	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $944.56 / $1,017.33 / $1,387.78	Professional		$944.56	$1,017.33	$1,387.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $701.85 / $1,117.33	Professional		$68.56	$701.85	$1,117.33
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $977.36 / $1,134.96 / $1,518.55	Professional		$977.36	$1,134.96	$1,518.55