Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,228.21 / $4,933.00 / $4,933.00	Facility		$1,228.21	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.06 / $1,112.93 / $1,228.21	Professional		$863.06	$1,112.93	$1,228.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $847.49 / $997.40 / $1,434.68	Facility		$847.49	$997.40	$1,434.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.65 / $1,210.50 / $1,595.80	Professional		$253.65	$1,210.50	$1,595.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $830.50 / $1,169.19 / $2,267.98	Professional		$830.50	$1,169.19	$2,267.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $975.78 / $4,933.00 / $4,933.00	Facility		$975.78	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $958.57 / $1,049.85 / $1,505.37	Professional		$958.57	$1,049.85	$1,505.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.35 / $738.61 / $1,182.05	Professional		$68.35	$738.61	$1,182.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $981.27 / $1,257.01 / $1,664.27	Professional		$981.27	$1,257.01	$1,664.27