Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,392.10 / $4,933.00 / $4,933.00	Facility		$1,392.10	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.75 / $1,392.10 / $1,443.66	Professional		$853.75	$1,392.10	$1,443.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,113.26 / $5,959.69 / $8,074.43	Facility		$5,113.26	$5,959.69	$8,074.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.41 / $957.37 / $1,608.38	Professional		$260.41	$957.37	$1,608.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $926.09 / $1,224.52 / $1,669.81	Professional		$926.09	$1,224.52	$1,669.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,194.77 / $4,933.00 / $4,933.00	Facility		$1,194.77	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,189.32 / $1,194.77 / $1,566.70	Professional		$1,189.32	$1,194.77	$1,566.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $925.14 / $1,377.57	Professional		$55.37	$925.14	$1,377.57
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 $1,166.32 / $1,421.56 / $1,815.15	Professional		$1,166.32	$1,421.56	$1,815.15