Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,032.84 / $4,933.00 / $4,933.00	Facility		$1,032.84	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.14 / $1,032.84 / $1,136.16	Professional		$694.14	$1,032.84	$1,136.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,357.21 / $3,912.94 / $5,301.41	Facility		$3,357.21	$3,912.94	$5,301.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.53 / $675.92 / $1,195.30	Professional		$193.53	$675.92	$1,195.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $692.48 / $1,164.20 / $1,368.00	Professional		$692.48	$1,164.20	$1,368.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $812.01 / $4,933.00 / $4,933.00	Facility		$812.01	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $812.01 / $859.00 / $1,071.09	Professional		$812.01	$859.00	$1,071.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $638.51 / $797.37 / $1,189.82	Professional		$638.51	$797.37	$1,189.82
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 $899.57 / $1,084.61 / $1,501.68	Professional		$899.57	$1,084.61	$1,501.68