Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,021.59 / $4,933.00 / $4,933.00	Facility		$1,021.59	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.70 / $1,021.59 / $1,060.89	Professional		$727.70	$1,021.59	$1,060.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,763.11 / $4,392.68 / $5,984.04	Facility		$3,763.11	$4,392.68	$5,984.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.27 / $1,126.41 / $1,363.54	Professional		$225.27	$1,126.41	$1,363.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.94 / $1,094.31 / $1,587.39	Professional		$714.94	$1,094.31	$1,587.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $869.25 / $4,933.00 / $4,933.00	Facility		$869.25	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $869.25 / $908.11 / $1,434.23	Professional		$869.25	$908.11	$1,434.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $691.74 / $1,035.49	Professional		$65.66	$691.74	$1,035.49
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 $900.28 / $1,026.45 / $1,504.11	Professional		$900.28	$1,026.45	$1,504.11