Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,261.48 / $4,112.00 / $4,933.00	Facility		$1,261.48	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $972.91 / $1,261.48 / $1,261.48	Professional		$972.91	$1,261.48	$1,261.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,071.96 / $4,753.21 / $6,475.17	Facility		$4,071.96	$4,753.21	$6,475.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.67 / $964.59 / $1,780.79	Professional		$308.67	$964.59	$1,780.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.44 / $1,171.32 / $2,033.17	Professional		$920.44	$1,171.32	$2,033.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,039.14 / $4,112.00 / $4,933.00	Facility		$1,039.14	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,039.14 / $1,120.66 / $1,654.95	Professional		$1,039.14	$1,120.66	$1,654.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $855.78 / $1,286.27	Professional		$98.87	$855.78	$1,286.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,849.00 / $9,202.00	Facility		$3,296.00	$7,849.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,117.88 / $1,349.79 / $1,737.09	Professional		$1,117.88	$1,349.79	$1,737.09