Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,179.11 / $4,933.00 / $4,933.00	Facility		$1,179.11	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.84 / $1,179.11 / $1,222.79	Professional		$823.84	$1,179.11	$1,222.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,249.87 / $4,953.38 / $6,711.04	Facility		$4,249.87	$4,953.38	$6,711.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.38 / $916.71 / $1,466.73	Professional		$235.38	$916.71	$1,466.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $795.97 / $1,354.78 / $1,535.62	Professional		$795.97	$1,354.78	$1,535.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $980.64 / $4,933.00 / $4,933.00	Facility		$980.64	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $980.64 / $1,008.69 / $1,393.75	Professional		$980.64	$1,008.69	$1,393.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $775.27 / $1,162.87	Professional		$65.66	$775.27	$1,162.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $4,056.00 / $6,327.00	Facility		$1,820.00	$4,056.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,020.25 / $1,224.49 / $1,697.65	Professional		$1,020.25	$1,224.49	$1,697.65