Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,451.20 / $4,933.00 / $4,933.00	Facility		$1,451.20	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $962.20 / $1,451.20 / $1,451.20	Professional		$962.20	$1,451.20	$1,451.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,554.35 / $6,483.61 / $8,832.45	Facility		$5,554.35	$6,483.61	$8,832.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.89 / $1,280.91 / $2,901.98	Professional		$328.89	$1,280.91	$2,901.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $997.55 / $1,519.83 / $2,461.12	Professional		$997.55	$1,519.83	$2,461.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,234.45 / $4,933.00 / $4,933.00	Facility		$1,234.45	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,234.45 / $1,341.93 / $1,697.40	Professional		$1,234.45	$1,341.93	$1,697.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.96 / $856.44 / $1,449.77	Professional		$103.96	$856.44	$1,449.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,253.21 / $1,478.67 / $1,962.64	Professional		$1,253.21	$1,478.67	$1,962.64