Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.96 / $4,933.00 / $4,933.00	Facility		$1,244.96	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $914.90 / $1,244.96 / $1,244.96	Professional		$914.90	$1,244.96	$1,244.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,827.14 / $5,634.73 / $7,676.06	Facility		$4,827.14	$5,634.73	$7,676.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.32 / $1,539.89 / $2,446.88	Professional		$249.32	$1,539.89	$2,446.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $909.26 / $1,132.90 / $2,007.39	Professional		$909.26	$1,132.90	$2,007.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,038.39 / $4,933.00 / $4,933.00	Facility		$1,038.39	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,038.39 / $1,107.42 / $1,624.52	Professional		$1,038.39	$1,107.42	$1,624.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $789.64 / $1,212.36	Professional		$68.66	$789.64	$1,212.36
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 $1,098.94 / $1,324.30 / $1,710.34	Professional		$1,098.94	$1,324.30	$1,710.34