Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,364.11 / $4,112.00 / $4,933.00	Facility		$1,364.11	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.29 / $1,358.44 / $1,416.58	Professional		$944.29	$1,358.44	$1,416.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,444.48 / $2,869.12 / $3,887.20	Facility		$2,444.48	$2,869.12	$3,887.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.89 / $1,335.21 / $2,597.60	Professional		$288.89	$1,335.21	$2,597.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.09 / $1,120.31 / $2,258.92	Professional		$658.09	$1,120.31	$2,258.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,063.84 / $4,112.00 / $4,933.00	Facility		$1,063.84	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,063.84 / $1,170.23 / $1,704.43	Professional		$1,063.84	$1,170.23	$1,704.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.57 / $714.08 / $1,205.45	Professional		$103.57	$714.08	$1,205.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $671.27 / $1,203.95 / $1,771.69	Professional		$671.27	$1,203.95	$1,771.69