Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,421.61 / $4,933.00 / $4,933.00	Facility		$1,421.61	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.84 / $1,421.61 / $1,474.26	Professional		$955.84	$1,421.61	$1,474.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,047.72 / $5,883.30 / $7,970.94	Facility		$5,047.72	$5,883.30	$7,970.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.22 / $1,334.04 / $1,758.65	Professional		$282.22	$1,334.04	$1,758.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.02 / $1,505.25 / $1,776.33	Professional		$954.02	$1,505.25	$1,776.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,165.45 / $4,933.00 / $4,933.00	Facility		$1,165.45	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,165.45 / $1,214.74 / $1,640.48	Professional		$1,165.45	$1,214.74	$1,640.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $861.71 / $1,358.52	Professional		$69.02	$861.71	$1,358.52
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 $1,153.88 / $1,478.14 / $1,823.15	Professional		$1,153.88	$1,478.14	$1,823.15