Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,233.24 / $4,933.00 / $4,933.00	Facility		$1,233.24	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.96 / $1,233.24 / $1,233.24	Professional		$876.96	$1,233.24	$1,233.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,448.04 / $5,192.21 / $7,073.21	Facility		$4,448.04	$5,192.21	$7,073.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.71 / $1,384.24 / $2,273.08	Professional		$247.71	$1,384.24	$2,273.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $871.55 / $1,050.09 / $1,923.38	Professional		$871.55	$1,050.09	$1,923.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $979.11 / $4,933.00 / $4,933.00	Facility		$979.11	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $979.11 / $1,096.59 / $1,435.64	Professional		$979.11	$1,096.59	$1,435.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $865.42 / $1,310.90	Professional		$65.66	$865.42	$1,310.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $4,056.00 / $6,036.00	Facility		$1,713.00	$4,056.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,024.81 / $1,214.77 / $1,592.56	Professional		$1,024.81	$1,214.77	$1,592.56