Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,368.12 / $4,933.00 / $4,933.00	Facility		$1,368.12	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.36 / $1,230.22 / $1,368.12	Professional		$942.36	$1,230.22	$1,368.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,773.45 / $5,667.89 / $7,784.71	Facility		$4,773.45	$5,667.89	$7,784.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.52 / $1,145.71 / $1,912.84	Professional		$284.52	$1,145.71	$1,912.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $958.44 / $1,298.07 / $2,519.04	Professional		$958.44	$1,298.07	$2,519.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,093.41 / $4,933.00 / $4,933.00	Facility		$1,093.41	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,063.66 / $1,190.39 / $1,670.14	Professional		$1,063.66	$1,190.39	$1,670.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $810.40 / $1,297.28	Professional		$68.44	$810.40	$1,297.28
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 $1,093.05 / $1,389.90 / $1,779.07	Professional		$1,093.05	$1,389.90	$1,779.07