Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,014.76 / $1,522.14 / $3,166.05	Facility		$1,014.76	$1,522.14	$3,166.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.20 / $1,014.76 / $1,014.76	Professional		$596.20	$1,014.76	$1,014.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,701.68 / $2,343.59 / $4,167.51	Facility		$1,701.68	$2,343.59	$4,167.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,397.49 / $1,544.59 / $1,765.25	Professional		$1,397.49	$1,544.59	$1,765.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.74 / $1,164.49 / $2,075.17	Professional		$628.74	$1,164.49	$2,075.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $651.67 / $1,522.14 / $7,633.68	Facility		$651.67	$1,522.14	$7,633.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $651.67 / $828.22 / $1,303.66	Professional		$651.67	$828.22	$1,303.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $796.80 / $978.62 / $1,241.27	Professional		$796.80	$978.62	$1,241.27
United Facility/Professional Facility Modifier Low / Median / High Price $386.78 / $886.62 / $1,493.58	Facility		$386.78	$886.62	$1,493.58
United Facility/Professional Professional Modifier Low / Median / High Price $809.44 / $909.90 / $1,215.73	Professional		$809.44	$909.90	$1,215.73