Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.20 / $4,933.00 / $4,933.00	Facility		$1,069.20	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.21 / $1,069.20 / $1,069.20	Professional		$786.21	$1,069.20	$1,069.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,064.72 / $4,737.57 / $6,418.65	Facility		$4,064.72	$4,737.57	$6,418.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.18 / $1,260.88 / $2,103.71	Professional		$252.18	$1,260.88	$2,103.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.15 / $970.12 / $1,722.87	Professional		$781.15	$970.12	$1,722.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $855.65 / $4,933.00 / $4,933.00	Facility		$855.65	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $855.65 / $951.01 / $1,365.31	Professional		$855.65	$951.01	$1,365.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $729.00 / $1,105.90	Professional		$65.66	$729.00	$1,105.90
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 $943.73 / $1,137.89 / $1,524.34	Professional		$943.73	$1,137.89	$1,524.34