Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,218.65 / $4,933.00 / $4,933.00	Facility		$1,218.65	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.88 / $1,218.65 / $1,263.79	Professional		$892.88	$1,218.65	$1,263.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,643.08 / $5,411.67 / $7,331.95	Facility		$4,643.08	$5,411.67	$7,331.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.81 / $1,340.07 / $2,110.62	Professional		$227.81	$1,340.07	$2,110.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $810.10 / $1,110.41 / $1,656.49	Professional		$810.10	$1,110.41	$1,656.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,084.69 / $4,933.00 / $4,933.00	Facility		$1,084.69	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,040.73 / $1,084.69 / $1,492.29	Professional		$1,040.73	$1,084.69	$1,492.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $815.35 / $1,214.98	Professional		$55.37	$815.35	$1,214.98
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 $990.29 / $1,278.48 / $1,702.73	Professional		$990.29	$1,278.48	$1,702.73