Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,211.95 / $4,933.00 / $4,933.00	Facility		$1,211.95	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.67 / $1,211.95 / $1,258.56	Professional		$862.67	$1,211.95	$1,258.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,451.28 / $5,195.97 / $7,078.36	Facility		$4,451.28	$5,195.97	$7,078.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.33 / $1,410.28 / $2,221.19	Professional		$249.33	$1,410.28	$2,221.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $843.15 / $1,264.98 / $1,877.94	Professional		$843.15	$1,264.98	$1,877.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,021.47 / $4,933.00 / $4,933.00	Facility		$1,021.47	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,021.47 / $1,078.28 / $1,681.55	Professional		$1,021.47	$1,078.28	$1,681.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.76 / $712.68 / $1,156.24	Professional		$101.76	$712.68	$1,156.24
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 $1,003.10 / $1,181.42 / $1,836.78	Professional		$1,003.10	$1,181.42	$1,836.78