Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,310.29 / $4,933.00 / $4,933.00	Facility		$1,310.29	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $890.21 / $1,310.29 / $1,358.82	Professional		$890.21	$1,310.29	$1,358.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,715.16 / $5,495.68 / $7,445.77	Facility		$4,715.16	$5,495.68	$7,445.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.80 / $324.37 / $1,968.42	Professional		$257.80	$324.37	$1,968.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $879.50 / $1,484.52 / $1,653.77	Professional		$879.50	$1,484.52	$1,653.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,037.44 / $4,933.00 / $4,933.00	Facility		$1,037.44	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,037.44 / $1,121.42 / $1,584.87	Professional		$1,037.44	$1,121.42	$1,584.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $805.86 / $1,242.91	Professional		$69.02	$805.86	$1,242.91
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 $1,133.40 / $1,379.58 / $1,894.83	Professional		$1,133.40	$1,379.58	$1,894.83