Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,252.77 / $4,933.00 / $4,933.00	Facility		$1,252.77	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.79 / $1,252.77 / $1,299.17	Professional		$912.79	$1,252.77	$1,299.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,858.89 / $3,332.14 / $4,514.52	Facility		$2,858.89	$3,332.14	$4,514.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.57 / $960.33 / $2,175.71	Professional		$246.57	$960.33	$2,175.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $834.91 / $1,395.64 / $1,695.70	Professional		$834.91	$1,395.64	$1,695.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,052.18 / $4,933.00 / $4,933.00	Facility		$1,052.18	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,052.18 / $1,070.21 / $1,577.91	Professional		$1,052.18	$1,070.21	$1,577.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $836.12 / $1,251.65	Professional		$55.37	$836.12	$1,251.65
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,165.51 / $10,165.85	Facility		$3,296.00	$7,165.51	$10,165.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,081.78 / $1,376.24 / $1,815.54	Professional		$1,081.78	$1,376.24	$1,815.54