Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,099.89 / $4,933.00 / $4,933.00	Facility		$1,099.89	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.84 / $1,099.89 / $1,140.63	Professional		$915.84	$1,099.89	$1,140.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,956.63 / $4,611.59 / $6,247.97	Facility		$3,956.63	$4,611.59	$6,247.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.11 / $783.33 / $1,626.90	Professional		$215.11	$783.33	$1,626.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.58 / $1,224.49 / $1,324.33	Professional		$731.58	$1,224.49	$1,324.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $932.27 / $4,933.00 / $4,933.00	Facility		$932.27	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $932.27 / $933.19 / $1,219.05	Professional		$932.27	$933.19	$1,219.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $669.10 / $836.72 / $1,234.75	Professional		$669.10	$836.72	$1,234.75
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 $984.46 / $1,284.61 / $2,160.26	Professional		$984.46	$1,284.61	$2,160.26