Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,223.27 / $4,933.00 / $4,933.00	Facility		$1,223.27	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.50 / $1,223.27 / $1,223.27	Professional		$892.50	$1,223.27	$1,223.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,538.22 / $5,289.45 / $7,166.37	Facility		$4,538.22	$5,289.45	$7,166.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.52 / $1,511.52 / $2,225.91	Professional		$268.52	$1,511.52	$2,225.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $875.58 / $1,103.38 / $1,954.45	Professional		$875.58	$1,103.38	$1,954.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $971.84 / $4,933.00 / $4,933.00	Facility		$971.84	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $971.84 / $1,067.05 / $1,535.62	Professional		$971.84	$1,067.05	$1,535.62
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 $1,038.81 / $1,289.26 / $1,705.15	Professional		$1,038.81	$1,289.26	$1,705.15