Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,188.33 / $4,933.00 / $4,933.00	Facility		$1,188.33	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.15 / $1,188.33 / $1,232.33	Professional		$864.15	$1,188.33	$1,232.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,752.68 / $5,539.41 / $7,505.03	Facility		$4,752.68	$5,539.41	$7,505.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.75 / $1,368.81 / $2,072.94	Professional		$223.75	$1,368.81	$2,072.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.55 / $1,333.98 / $1,605.36	Professional		$794.55	$1,333.98	$1,605.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,025.34 / $4,933.00 / $4,933.00	Facility		$1,025.34	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,018.65 / $1,025.34 / $1,556.47	Professional		$1,018.65	$1,025.34	$1,556.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $793.93 / $1,187.36	Professional		$55.37	$793.93	$1,187.36
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $10,192.00 / $14,705.00	Facility		$5,000.00	$10,192.00	$14,705.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,014.27 / $1,297.88 / $1,647.31	Professional		$1,014.27	$1,297.88	$1,647.31