Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,046.50 / $4,933.00 / $4,933.00	Facility		$1,046.50	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.02 / $1,046.50 / $1,086.75	Professional		$745.02	$1,046.50	$1,086.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,849.32 / $4,493.31 / $6,121.13	Facility		$3,849.32	$4,493.31	$6,121.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.99 / $913.18 / $1,400.21	Professional		$206.99	$913.18	$1,400.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.41 / $1,056.58 / $1,629.05	Professional		$597.41	$1,056.58	$1,629.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $884.74 / $4,933.00 / $4,933.00	Facility		$884.74	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $884.74 / $931.27 / $1,470.22	Professional		$884.74	$931.27	$1,470.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $599.71 / $973.14	Professional		$68.50	$599.71	$973.14
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 $889.19 / $1,064.89 / $1,538.64	Professional		$889.19	$1,064.89	$1,538.64