Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,502.27 / $4,933.00 / $4,933.00	Facility		$1,502.27	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.90 / $1,270.77 / $1,502.27	Professional		$855.90	$1,270.77	$1,502.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.31 / $205.14 / $327.57	Facility		$174.31	$205.14	$327.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.49 / $782.98 / $1,393.45	Professional		$221.49	$782.98	$1,393.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $919.81 / $1,443.73 / $2,485.46	Professional		$919.81	$1,443.73	$2,485.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,502.27 / $4,933.00 / $4,933.00	Facility		$1,502.27	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,085.68 / $1,385.88 / $1,502.27	Professional		$1,085.68	$1,385.88	$1,502.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
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 $1,083.41 / $1,455.06 / $1,955.13	Professional		$1,083.41	$1,455.06	$1,955.13