Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.35 / $4,933.00 / $4,933.00	Facility		$1,075.35	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.44 / $1,075.35 / $1,084.39	Professional		$765.44	$1,075.35	$1,084.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,169.58 / $4,859.79 / $6,584.24	Facility		$4,169.58	$4,859.79	$6,584.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.18 / $799.94 / $1,448.14	Professional		$230.18	$799.94	$1,448.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.62 / $947.54 / $1,786.52	Professional		$809.62	$947.54	$1,786.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $962.83 / $4,933.00 / $4,933.00	Facility		$962.83	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $962.83 / $1,028.04 / $1,388.34	Professional		$962.83	$1,028.04	$1,388.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.98 / $565.17 / $1,013.80	Professional		$138.98	$565.17	$1,013.80
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 $974.12 / $1,124.27 / $1,530.04	Professional		$974.12	$1,124.27	$1,530.04