Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,314.95 / $4,933.00 / $4,933.00	Facility		$1,314.95	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.37 / $1,314.95 / $1,363.66	Professional		$963.37	$1,314.95	$1,363.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,265.62 / $6,137.27 / $8,315.02	Facility		$5,265.62	$6,137.27	$8,315.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.70 / $1,509.16 / $2,938.52	Professional		$275.70	$1,509.16	$2,938.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.15 / $1,396.61 / $1,788.82	Professional		$876.15	$1,396.61	$1,788.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,247.16 / $4,933.00 / $4,933.00	Facility		$1,247.16	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,124.85 / $1,247.16 / $1,684.30	Professional		$1,124.85	$1,247.16	$1,684.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $887.35 / $1,326.80	Professional		$55.37	$887.35	$1,326.80
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 $1,084.15 / $1,389.30 / $1,858.20	Professional		$1,084.15	$1,389.30	$1,858.20