Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,315.14 / $4,933.00 / $4,933.00	Facility		$1,315.14	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $951.36 / $1,315.14 / $1,315.14	Professional		$951.36	$1,315.14	$1,315.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,969.09 / $5,791.65 / $7,846.76	Facility		$4,969.09	$5,791.65	$7,846.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.39 / $1,525.82 / $2,403.17	Professional		$259.39	$1,525.82	$2,403.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $940.20 / $1,159.39 / $2,083.02	Professional		$940.20	$1,159.39	$2,083.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,094.88 / $4,933.00 / $4,933.00	Facility		$1,094.88	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,094.88 / $1,158.56 / $1,754.03	Professional		$1,094.88	$1,158.56	$1,754.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $809.66 / $1,265.71	Professional		$68.66	$809.66	$1,265.71
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 $1,146.26 / $1,362.87 / $1,848.26	Professional		$1,146.26	$1,362.87	$1,848.26