Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,295.33 / $4,112.00 / $4,933.00	Facility		$1,295.33	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $982.16 / $1,240.14 / $1,361.77	Professional		$982.16	$1,240.14	$1,361.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,880.16 / $4,522.46 / $6,127.21	Facility		$3,880.16	$4,522.46	$6,127.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.04 / $1,385.19 / $2,296.48	Professional		$277.04	$1,385.19	$2,296.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $911.11 / $1,378.21 / $1,700.00	Professional		$911.11	$1,378.21	$1,700.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,014.01 / $4,112.00 / $4,933.00	Facility		$1,014.01	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,014.01 / $1,197.40 / $1,634.80	Professional		$1,014.01	$1,197.40	$1,634.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $865.50 / $1,238.98	Professional		$71.52	$865.50	$1,238.98
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 $1,122.28 / $1,359.86 / $2,741.26	Professional		$1,122.28	$1,359.86	$2,741.26