Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,097.53 / $4,933.00 / $4,933.00	Facility		$1,097.53	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.55 / $1,097.53 / $1,138.18	Professional		$775.55	$1,097.53	$1,138.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,956.63 / $4,611.59 / $6,247.97	Facility		$3,956.63	$4,611.59	$6,247.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.45 / $751.64 / $1,262.76	Professional		$204.45	$751.64	$1,262.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $730.10 / $1,032.45 / $1,435.55	Professional		$730.10	$1,032.45	$1,435.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $931.75 / $4,933.00 / $4,933.00	Facility		$931.75	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $931.23 / $931.75 / $1,312.54	Professional		$931.23	$931.75	$1,312.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $669.10 / $836.72 / $1,234.75	Professional		$669.10	$836.72	$1,234.75
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 $948.28 / $1,161.09 / $1,582.62	Professional		$948.28	$1,161.09	$1,582.62