Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.46 / $4,933.00 / $4,933.00	Facility		$1,037.46	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.17 / $1,037.46 / $1,075.89	Professional		$702.17	$1,037.46	$1,075.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,720.68 / $4,336.59 / $5,875.39	Facility		$3,720.68	$4,336.59	$5,875.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.93 / $267.20 / $1,210.84	Professional		$197.93	$267.20	$1,210.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $701.81 / $1,189.71 / $1,309.29	Professional		$701.81	$1,189.71	$1,309.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $863.98 / $4,933.00 / $4,933.00	Facility		$863.98	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $863.98 / $887.86 / $1,231.70	Professional		$863.98	$887.86	$1,231.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $700.94 / $1,059.40	Professional		$65.66	$700.94	$1,059.40
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 $895.20 / $1,081.18 / $1,340.13	Professional		$895.20	$1,081.18	$1,340.13