Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.11 / $4,933.00 / $4,933.00	Facility		$1,316.11	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $952.79 / $1,316.11 / $1,364.85	Professional		$952.79	$1,316.11	$1,364.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,746.29 / $5,531.97 / $7,494.94	Facility		$4,746.29	$5,531.97	$7,494.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.19 / $1,448.13 / $2,172.19	Professional		$246.19	$1,448.13	$2,172.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $875.26 / $1,467.20 / $1,766.25	Professional		$875.26	$1,467.20	$1,766.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,132.33 / $4,933.00 / $4,933.00	Facility		$1,132.33	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,124.50 / $1,153.45 / $1,746.83	Professional		$1,124.50	$1,153.45	$1,746.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $866.51 / $1,303.74	Professional		$55.37	$866.51	$1,303.74
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 $1,153.66 / $1,449.07 / $1,911.24	Professional		$1,153.66	$1,449.07	$1,911.24