Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,361.36 / $4,933.00 / $4,933.00	Facility		$1,361.36	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $996.57 / $1,361.36 / $1,411.78	Professional		$996.57	$1,361.36	$1,411.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,231.22 / $6,097.18 / $8,260.70	Facility		$5,231.22	$6,097.18	$8,260.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.31 / $971.71 / $1,662.82	Professional		$264.31	$971.71	$1,662.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $904.07 / $1,423.78 / $1,847.76	Professional		$904.07	$1,423.78	$1,847.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,207.68 / $4,933.00 / $4,933.00	Facility		$1,207.68	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,162.06 / $1,207.68 / $1,764.18	Professional		$1,162.06	$1,207.68	$1,764.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $912.81 / $1,375.56	Professional		$55.37	$912.81	$1,375.56
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 $1,167.16 / $1,483.59 / $1,974.18	Professional		$1,167.16	$1,483.59	$1,974.18