Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.51 / $4,933.00 / $4,933.00	Facility		$1,335.51	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.99 / $1,241.89 / $1,384.98	Professional		$887.99	$1,241.89	$1,384.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,736.43 / $5,520.48 / $7,479.37	Facility		$4,736.43	$5,520.48	$7,479.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.97 / $1,038.58 / $1,568.64	Professional		$253.97	$1,038.58	$1,568.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $900.54 / $1,339.43 / $1,651.56	Professional		$900.54	$1,339.43	$1,651.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,092.99 / $4,933.00 / $4,933.00	Facility		$1,092.99	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,092.99 / $1,145.20 / $1,490.16	Professional		$1,092.99	$1,145.20	$1,490.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $786.27 / $1,249.03	Professional		$68.73	$786.27	$1,249.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,126.64 / $1,382.40 / $1,929.97	Professional		$1,126.64	$1,382.40	$1,929.97