Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,474.13 / $4,933.00 / $4,933.00	Facility		$1,474.13	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $968.08 / $1,474.13 / $1,528.73	Professional		$968.08	$1,474.13	$1,528.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,241.07 / $6,108.65 / $8,276.26	Facility		$5,241.07	$6,108.65	$8,276.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.66 / $1,615.58 / $1,891.58	Professional		$300.66	$1,615.58	$1,891.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $874.02 / $1,397.59 / $2,038.92	Professional		$874.02	$1,397.59	$2,038.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,182.28 / $4,933.00 / $4,933.00	Facility		$1,182.28	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,182.28 / $1,301.80 / $1,692.92	Professional		$1,182.28	$1,301.80	$1,692.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $934.61 / $1,446.49	Professional		$69.02	$934.61	$1,446.49
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 $1,193.19 / $1,502.69 / $1,895.72	Professional		$1,193.19	$1,502.69	$1,895.72