Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,315.30 / $4,933.00 / $4,933.00	Facility		$1,315.30	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.20 / $1,315.30 / $1,364.01	Professional		$892.20	$1,315.30	$1,364.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,256.42 / $4,961.00 / $6,721.37	Facility		$4,256.42	$4,961.00	$6,721.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.74 / $1,393.70 / $2,288.60	Professional		$278.74	$1,393.70	$2,288.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.78 / $1,222.93 / $1,659.25	Professional		$886.78	$1,222.93	$1,659.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,039.20 / $4,933.00 / $4,933.00	Facility		$1,039.20	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,039.20 / $1,123.30 / $1,525.82	Professional		$1,039.20	$1,123.30	$1,525.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $786.27 / $1,249.03	Professional		$68.73	$786.27	$1,249.03
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 $1,128.52 / $1,366.68 / $1,885.44	Professional		$1,128.52	$1,366.68	$1,885.44