Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.60 / $4,933.00 / $4,933.00	Facility		$1,203.60	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $884.31 / $1,203.60 / $1,203.60	Professional		$884.31	$1,203.60	$1,203.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,531.02 / $5,289.06 / $7,205.16	Facility		$4,531.02	$5,289.06	$7,205.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.74 / $1,418.25 / $2,366.27	Professional		$250.74	$1,418.25	$2,366.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $878.74 / $1,094.20 / $1,939.08	Professional		$878.74	$1,094.20	$1,939.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $959.24 / $4,933.00 / $4,933.00	Facility		$959.24	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $959.24 / $1,071.08 / $1,547.34	Professional		$959.24	$1,071.08	$1,547.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $757.63 / $1,168.20	Professional		$68.56	$757.63	$1,168.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,038.68 / $1,261.72 / $1,636.06	Professional		$1,038.68	$1,261.72	$1,636.06