Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.04 / $4,933.00 / $4,933.00	Facility		$1,075.04	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.39 / $1,075.04 / $1,114.85	Professional		$735.39	$1,075.04	$1,114.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,839.99 / $4,479.22 / $6,301.94	Facility		$3,839.99	$4,479.22	$6,301.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.72 / $749.15 / $1,618.16	Professional		$239.72	$749.15	$1,618.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.74 / $1,022.50 / $1,368.18	Professional		$722.74	$1,022.50	$1,368.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $881.86 / $4,933.00 / $4,933.00	Facility		$881.86	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $881.86 / $920.63 / $1,190.51	Professional		$881.86	$920.63	$1,190.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.93 / $693.99 / $1,047.16	Professional		$54.93	$693.99	$1,047.16
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 $883.69 / $1,112.85 / $1,575.11	Professional		$883.69	$1,112.85	$1,575.11