Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.08 / $4,933.00 / $4,933.00	Facility		$1,272.08	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $937.63 / $1,272.08 / $1,272.08	Professional		$937.63	$1,272.08	$1,272.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,881.61 / $4,531.01 / $6,172.48	Facility		$3,881.61	$4,531.01	$6,172.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.37 / $1,161.92 / $2,556.21	Professional		$263.37	$1,161.92	$2,556.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $834.43 / $1,281.66 / $2,063.69	Professional		$834.43	$1,281.66	$2,063.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,045.93 / $4,933.00 / $4,933.00	Facility		$1,045.93	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,045.93 / $1,171.44 / $1,723.66	Professional		$1,045.93	$1,171.44	$1,723.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.64 / $719.56 / $1,236.08	Professional		$103.64	$719.56	$1,236.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,574.00 / $8,339.00	Facility		$2,524.00	$5,574.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,077.31 / $1,279.74 / $1,706.32	Professional		$1,077.31	$1,279.74	$1,706.32