Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,319.19 / $4,933.00 / $4,933.00	Facility		$1,319.19	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.23 / $1,266.51 / $1,369.93	Professional		$924.23	$1,266.51	$1,369.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,832.01 / $5,671.36 / $7,683.80	Facility		$4,832.01	$5,671.36	$7,683.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.14 / $1,262.50 / $1,836.36	Professional		$260.14	$1,262.50	$1,836.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $759.83 / $1,246.24 / $2,125.13	Professional		$759.83	$1,246.24	$2,125.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,245.60 / $1,319.19 / $6,906.00	Facility		$1,245.60	$1,319.19	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,027.35 / $1,245.60 / $1,694.20	Professional		$1,027.35	$1,245.60	$1,694.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.57 / $686.84 / $1,164.60	Professional		$103.57	$686.84	$1,164.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,044.34 / $1,298.22 / $1,717.37	Professional		$1,044.34	$1,298.22	$1,717.37