Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,285.53 / $4,933.00 / $4,933.00	Facility		$1,285.53	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.82 / $1,285.53 / $1,334.98	Professional		$915.82	$1,285.53	$1,334.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,718.12 / $5,507.47 / $7,502.68	Facility		$4,718.12	$5,507.47	$7,502.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.57 / $1,119.33 / $2,910.27	Professional		$283.57	$1,119.33	$2,910.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.66 / $1,322.05 / $1,996.45	Professional		$899.66	$1,322.05	$1,996.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,095.29 / $4,933.00 / $4,933.00	Facility		$1,095.29	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,095.29 / $1,143.96 / $1,807.42	Professional		$1,095.29	$1,143.96	$1,807.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.83 / $748.02 / $1,215.58	Professional		$101.83	$748.02	$1,215.58
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 $1,062.83 / $1,261.49 / $1,726.15	Professional		$1,062.83	$1,261.49	$1,726.15