Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,261.54 / $4,933.00 / $4,933.00	Facility		$1,261.54	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $932.56 / $1,261.54 / $1,308.27	Professional		$932.56	$1,261.54	$1,308.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,006.77 / $5,835.57 / $7,906.27	Facility		$5,006.77	$5,835.57	$7,906.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.43 / $1,387.88 / $2,810.44	Professional		$262.43	$1,387.88	$2,810.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.29 / $1,369.75 / $1,730.74	Professional		$839.29	$1,369.75	$1,730.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,099.98 / $4,933.00 / $4,933.00	Facility		$1,099.98	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,077.36 / $1,099.98 / $1,654.35	Professional		$1,077.36	$1,099.98	$1,654.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $833.24 / $1,259.94	Professional		$55.37	$833.24	$1,259.94
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 $1,120.67 / $1,393.74 / $1,828.94	Professional		$1,120.67	$1,393.74	$1,828.94