Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,110.80 / $4,933.00 / $4,933.00	Facility		$1,110.80	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $809.11 / $1,110.80 / $1,151.94	Professional		$809.11	$1,110.80	$1,151.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,010.66 / $4,674.56 / $6,333.29	Facility		$4,010.66	$4,674.56	$6,333.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.00 / $855.09 / $1,937.27	Professional		$246.00	$855.09	$1,937.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.95 / $1,205.69 / $1,503.34	Professional		$742.95	$1,205.69	$1,503.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,059.39 / $4,933.00 / $4,933.00	Facility		$1,059.39	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $951.75 / $1,059.39 / $1,477.91	Professional		$951.75	$1,059.39	$1,477.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $768.64 / $1,150.00	Professional		$49.63	$768.64	$1,150.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,869.00 / $6,327.00	Facility		$1,713.00	$3,869.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $916.66 / $1,195.03 / $1,542.06	Professional		$916.66	$1,195.03	$1,542.06