Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.24 / $4,933.00 / $4,933.00	Facility		$1,152.24	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $820.50 / $1,152.24 / $1,196.55	Professional		$820.50	$1,152.24	$1,196.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,202.35 / $4,905.42 / $6,682.54	Facility		$4,202.35	$4,905.42	$6,682.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.59 / $1,273.07 / $2,110.62	Professional		$250.59	$1,273.07	$2,110.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.73 / $1,234.05 / $1,790.82	Professional		$807.73	$1,234.05	$1,790.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $978.31 / $4,933.00 / $4,933.00	Facility		$978.31	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $978.31 / $1,025.83 / $1,619.93	Professional		$978.31	$1,025.83	$1,619.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $651.81 / $1,068.24	Professional		$69.02	$651.81	$1,068.24
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 $974.17 / $1,125.13 / $1,516.59	Professional		$974.17	$1,125.13	$1,516.59