Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,442.91 / $4,933.00 / $4,933.00	Facility		$1,442.91	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $986.83 / $1,300.33 / $1,498.65	Professional		$986.83	$1,300.33	$1,498.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,063.43 / $6,007.80 / $8,294.35	Facility		$4,063.43	$6,007.80	$8,294.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.61 / $1,044.05 / $1,841.63	Professional		$284.61	$1,044.05	$1,841.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $969.20 / $1,366.65 / $2,609.51	Professional		$969.20	$1,366.65	$2,609.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,150.02 / $4,933.00 / $4,933.00	Facility		$1,150.02	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,121.90 / $1,265.02 / $1,825.59	Professional		$1,121.90	$1,265.02	$1,825.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.23 / $969.23 / $1,462.18	Professional		$98.23	$969.23	$1,462.18
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 $1,159.57 / $1,472.54 / $1,887.11	Professional		$1,159.57	$1,472.54	$1,887.11