Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.53 / $4,112.00 / $4,933.00	Facility		$1,316.53	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $922.50 / $1,154.91 / $1,581.07	Professional		$922.50	$1,154.91	$1,581.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,068.66 / $2,428.00 / $3,289.55	Facility		$2,068.66	$2,428.00	$3,289.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.38 / $1,260.84 / $2,475.86	Professional		$290.38	$1,260.84	$2,475.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.86 / $1,217.61 / $2,156.85	Professional		$745.86	$1,217.61	$2,156.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,065.48 / $4,112.00 / $4,933.00	Facility		$1,065.48	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,013.20 / $1,157.95 / $1,645.50	Professional		$1,013.20	$1,157.95	$1,645.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.64 / $685.15 / $1,164.60	Professional		$103.64	$685.15	$1,164.60
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 $1,016.60 / $1,219.92 / $1,692.82	Professional		$1,016.60	$1,219.92	$1,692.82