Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,112.98 / $4,933.00 / $4,933.00	Facility		$1,112.98	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.02 / $1,112.98 / $1,154.20	Professional		$759.02	$1,112.98	$1,154.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,974.60 / $4,632.54 / $6,276.35	Facility		$3,974.60	$4,632.54	$6,276.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.46 / $779.34 / $1,683.37	Professional		$220.46	$779.34	$1,683.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.78 / $1,268.86 / $1,415.21	Professional		$752.78	$1,268.86	$1,415.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $902.46 / $4,933.00 / $4,933.00	Facility		$902.46	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $902.46 / $951.86 / $1,311.34	Professional		$902.46	$951.86	$1,311.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $741.66 / $1,114.17	Professional		$65.67	$741.66	$1,114.17
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 $897.74 / $1,150.94 / $1,451.85	Professional		$897.74	$1,150.94	$1,451.85