Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,421.19 / $4,797.00 / $4,933.00	Facility		$1,421.19	$4,797.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.36 / $1,421.19 / $1,473.83	Professional		$963.36	$1,421.19	$1,473.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,874.45 / $5,681.35 / $7,697.32	Facility		$4,874.45	$5,681.35	$7,697.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.33 / $1,488.32 / $1,742.58	Professional		$266.33	$1,488.32	$1,742.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.34 / $1,602.18 / $1,882.76	Professional		$952.34	$1,602.18	$1,882.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,126.90 / $4,797.00 / $4,933.00	Facility		$1,126.90	$4,797.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,126.90 / $1,137.71 / $1,477.70	Professional		$1,126.90	$1,137.71	$1,477.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $886.47 / $1,113.15 / $1,650.87	Professional		$886.47	$1,113.15	$1,650.87
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 $1,251.70 / $1,512.19 / $2,100.63	Professional		$1,251.70	$1,512.19	$2,100.63