Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.39 / $4,933.00 / $4,933.00	Facility		$1,028.39	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.73 / $1,028.39 / $1,066.48	Professional		$716.73	$1,028.39	$1,066.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,759.39 / $5,138.75 / $11,850.37	Facility		$3,759.39	$5,138.75	$11,850.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.52 / $1,072.47 / $1,255.70	Professional		$201.52	$1,072.47	$1,255.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $684.73 / $1,147.86 / $1,391.19	Professional		$684.73	$1,147.86	$1,391.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $783.01 / $4,933.00 / $4,933.00	Facility		$783.01	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $783.01 / $873.88 / $1,066.48	Professional		$783.01	$873.88	$1,066.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $611.41 / $763.37 / $1,102.65	Professional		$611.41	$763.37	$1,102.65
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 $831.21 / $1,084.04 / $1,503.26	Professional		$831.21	$1,084.04	$1,503.26