Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,198.60 / $4,933.00 / $4,933.00	Facility		$1,198.60	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.67 / $1,198.60 / $1,198.60	Professional		$880.67	$1,198.60	$1,198.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,477.33 / $5,226.39 / $7,119.79	Facility		$4,477.33	$5,226.39	$7,119.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.56 / $1,342.14 / $2,119.17	Professional		$282.56	$1,342.14	$2,119.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,930.98 / $1,930.98 / $3,339.04	Professional		$1,930.98	$1,930.98	$3,339.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $955.40 / $4,933.00 / $4,933.00	Facility		$955.40	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $955.40 / $1,066.68 / $1,545.69	Professional		$955.40	$1,066.68	$1,545.69
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 $1,034.51 / $1,274.41 / $1,605.50	Professional		$1,034.51	$1,274.41	$1,605.50