Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,326.57 / $4,933.00 / $4,933.00	Facility		$1,326.57	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.57 / $1,326.57 / $1,375.70	Professional		$977.57	$1,326.57	$1,375.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,391.78 / $6,284.30 / $8,514.23	Facility		$5,391.78	$6,284.30	$8,514.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.50 / $1,460.58 / $2,436.91	Professional		$277.50	$1,460.58	$2,436.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $882.76 / $1,359.23 / $1,814.80	Professional		$882.76	$1,359.23	$1,814.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,197.80 / $4,933.00 / $4,933.00	Facility		$1,197.80	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,133.36 / $1,197.80 / $1,677.75	Professional		$1,133.36	$1,197.80	$1,677.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $866.51 / $1,303.74	Professional		$55.37	$866.51	$1,303.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,869.00 / $6,327.00	Facility		$1,713.00	$3,869.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,146.50 / $1,489.19 / $1,950.80	Professional		$1,146.50	$1,489.19	$1,950.80