Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.81 / $4,933.00 / $4,933.00	Facility		$1,175.81	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.31 / $1,175.81 / $1,175.81	Professional		$862.31	$1,175.81	$1,175.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,339.05 / $5,064.97 / $6,899.89	Facility		$4,339.05	$5,064.97	$6,899.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.41 / $1,378.91 / $2,171.79	Professional		$234.41	$1,378.91	$2,171.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $853.88 / $1,070.78 / $1,886.00	Professional		$853.88	$1,070.78	$1,886.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $940.35 / $4,933.00 / $4,933.00	Facility		$940.35	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $940.35 / $1,040.05 / $1,491.25	Professional		$940.35	$1,040.05	$1,491.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $807.10 / $1,200.92	Professional		$65.66	$807.10	$1,200.92
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 $1,008.78 / $1,225.30 / $1,591.34	Professional		$1,008.78	$1,225.30	$1,591.34