Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,127.01 / $4,933.00 / $4,933.00	Facility		$1,127.01	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.03 / $1,127.01 / $1,127.01	Professional		$828.03	$1,127.01	$1,127.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,177.78 / $4,869.35 / $6,597.19	Facility		$4,177.78	$4,869.35	$6,597.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.16 / $1,260.76 / $2,214.23	Professional		$252.16	$1,260.76	$2,214.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $822.02 / $1,021.10 / $1,813.59	Professional		$822.02	$1,021.10	$1,813.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $896.28 / $4,933.00 / $4,933.00	Facility		$896.28	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $896.28 / $1,001.47 / $1,428.25	Professional		$896.28	$1,001.47	$1,428.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $767.99 / $1,156.45	Professional		$65.66	$767.99	$1,156.45
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 $970.46 / $1,177.30 / $1,524.81	Professional		$970.46	$1,177.30	$1,524.81