Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,425.00 / $4,933.00 / $4,933.00	Facility		$1,425.00	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.43 / $1,188.44 / $1,494.50	Professional		$924.43	$1,188.44	$1,494.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,008.93 / $5,927.22 / $7,945.27	Facility		$4,008.93	$5,927.22	$7,945.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.22 / $1,084.65 / $1,900.72	Professional		$292.22	$1,084.65	$1,900.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $959.34 / $1,342.50 / $2,572.40	Professional		$959.34	$1,342.50	$2,572.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,142.04 / $4,933.00 / $4,933.00	Facility		$1,142.04	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,087.96 / $1,212.86 / $1,728.97	Professional		$1,087.96	$1,212.86	$1,728.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.23 / $935.64 / $1,410.07	Professional		$98.23	$935.64	$1,410.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $4,056.00 / $5,525.00	Facility		$1,713.00	$4,056.00	$5,525.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,134.31 / $1,445.89 / $1,840.29	Professional		$1,134.31	$1,445.89	$1,840.29