Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,026.01 / $4,933.00 / $4,933.00	Facility		$1,026.01	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.33 / $1,026.01 / $1,065.47	Professional		$730.33	$1,026.01	$1,065.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,776.39 / $4,401.51 / $5,963.35	Facility		$3,776.39	$4,401.51	$5,963.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.39 / $1,195.65 / $2,331.52	Professional		$211.39	$1,195.65	$2,331.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $719.98 / $1,092.26 / $1,589.26	Professional		$719.98	$1,092.26	$1,589.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $863.96 / $4,933.00 / $4,933.00	Facility		$863.96	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $863.96 / $913.77 / $1,442.00	Professional		$863.96	$913.77	$1,442.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $589.93 / $959.61	Professional		$68.50	$589.93	$959.61
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 $872.32 / $1,033.81 / $1,496.54	Professional		$872.32	$1,033.81	$1,496.54