Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,266.67 / $4,933.00 / $4,933.00	Facility		$1,266.67	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $902.32 / $1,266.67 / $1,315.39	Professional		$902.32	$1,266.67	$1,315.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,641.66 / $5,418.22 / $7,381.10	Facility		$4,641.66	$5,418.22	$7,381.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.35 / $1,472.04 / $2,649.67	Professional		$278.35	$1,472.04	$2,649.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.69 / $1,297.90 / $1,967.89	Professional		$886.69	$1,297.90	$1,967.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,076.91 / $4,933.00 / $4,933.00	Facility		$1,076.91	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,076.91 / $1,128.26 / $1,782.92	Professional		$1,076.91	$1,128.26	$1,782.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.76 / $741.66 / $1,204.76	Professional		$101.76	$741.66	$1,204.76
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 $1,053.71 / $1,238.16 / $1,688.61	Professional		$1,053.71	$1,238.16	$1,688.61