Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,298.75 / $4,933.00 / $4,933.00	Facility		$1,298.75	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.39 / $1,298.75 / $1,346.85	Professional		$872.39	$1,298.75	$1,346.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,219.46 / $4,917.93 / $6,663.01	Facility		$4,219.46	$4,917.93	$6,663.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.24 / $1,207.58 / $1,502.76	Professional		$286.24	$1,207.58	$1,502.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.10 / $1,463.60 / $1,719.27	Professional		$870.10	$1,463.60	$1,719.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,020.52 / $4,933.00 / $4,933.00	Facility		$1,020.52	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,020.52 / $1,080.28 / $1,346.85	Professional		$1,020.52	$1,080.28	$1,346.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $774.19 / $975.13 / $1,457.88	Professional		$774.19	$975.13	$1,457.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,869.00 / $6,327.00	Facility		$1,713.00	$3,869.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,063.60 / $1,356.87 / $1,872.57	Professional		$1,063.60	$1,356.87	$1,872.57