Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,368.87 / $4,933.00 / $4,933.00	Facility		$1,368.87	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.52 / $1,230.83 / $1,368.87	Professional		$974.52	$1,230.83	$1,368.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,935.43 / $5,818.54 / $7,799.59	Facility		$3,935.43	$5,818.54	$7,799.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.20 / $1,105.73 / $1,765.51	Professional		$281.20	$1,105.73	$1,765.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $983.74 / $1,306.82 / $2,627.07	Professional		$983.74	$1,306.82	$2,627.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,157.02 / $4,933.00 / $4,933.00	Facility		$1,157.02	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,065.77 / $1,203.86 / $1,685.19	Professional		$1,065.77	$1,203.86	$1,685.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.23 / $920.08 / $1,388.37	Professional		$98.23	$920.08	$1,388.37
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 $1,109.52 / $1,406.98 / $1,793.49	Professional		$1,109.52	$1,406.98	$1,793.49