Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,331.65 / $4,933.00 / $5,757.00	Facility		$1,331.65	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.57 / $1,324.45 / $1,382.87	Professional		$935.57	$1,324.45	$1,382.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,179.62 / $4,905.64 / $6,646.36	Facility		$4,179.62	$4,905.64	$6,646.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.11 / $1,577.10 / $2,631.31	Professional		$268.11	$1,577.10	$2,631.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.11 / $1,207.97 / $2,202.90	Professional		$762.11	$1,207.97	$2,202.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,055.22 / $4,933.00 / $5,757.00	Facility		$1,055.22	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,039.11 / $1,160.74 / $1,696.69	Professional		$1,039.11	$1,160.74	$1,696.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $713.61 / $1,205.45	Professional		$68.66	$713.61	$1,205.45
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 $973.45 / $1,192.64 / $1,574.28	Professional		$973.45	$1,192.64	$1,574.28