Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,448.60 / $4,933.00 / $4,933.00	Facility		$1,448.60	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,030.99 / $1,218.47 / $1,448.60	Professional		$1,030.99	$1,218.47	$1,448.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,240.87 / $6,270.13 / $8,656.53	Facility		$4,240.87	$6,270.13	$8,656.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.23 / $1,147.40 / $1,870.80	Professional		$297.23	$1,147.40	$1,870.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.67 / $1,416.63 / $2,654.05	Professional		$1,023.67	$1,416.63	$2,654.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,213.27 / $4,933.00 / $4,933.00	Facility		$1,213.27	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,125.30 / $1,256.94 / $1,939.24	Professional		$1,125.30	$1,256.94	$1,939.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.97 / $830.60 / $1,387.85	Professional		$138.97	$830.60	$1,387.85
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,036.00	Facility		$850.00	$4,645.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,108.80 / $1,394.04 / $1,932.91	Professional		$1,108.80	$1,394.04	$1,932.91