Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,260.63 / $4,933.00 / $4,933.00	Facility		$1,260.63	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $917.74 / $1,260.63 / $1,307.32	Professional		$917.74	$1,260.63	$1,307.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,511.99 / $5,258.89 / $7,124.96	Facility		$4,511.99	$5,258.89	$7,124.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.60 / $1,455.18 / $2,078.83	Professional		$235.60	$1,455.18	$2,078.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $838.14 / $1,402.03 / $1,702.14	Professional		$838.14	$1,402.03	$1,702.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,087.03 / $4,933.00 / $4,933.00	Facility		$1,087.03	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,075.80 / $1,087.03 / $1,652.97	Professional		$1,075.80	$1,087.03	$1,652.97
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 $1,119.45 / $1,386.92 / $1,848.12	Professional		$1,119.45	$1,386.92	$1,848.12