Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.32 / $4,933.00 / $4,933.00	Facility		$1,174.32	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.79 / $1,174.32 / $1,174.32	Professional		$862.79	$1,174.32	$1,174.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,340.66 / $5,066.85 / $6,902.46	Facility		$4,340.66	$5,066.85	$6,902.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.02 / $1,383.89 / $2,308.96	Professional		$247.02	$1,383.89	$2,308.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $857.36 / $1,066.65 / $1,891.46	Professional		$857.36	$1,066.65	$1,891.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $936.32 / $4,933.00 / $4,933.00	Facility		$936.32	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $936.32 / $1,044.69 / $1,515.01	Professional		$936.32	$1,044.69	$1,515.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $749.98 / $1,154.38	Professional		$68.56	$749.98	$1,154.38
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 $1,030.40 / $1,252.47 / $1,572.39	Professional		$1,030.40	$1,252.47	$1,572.39