Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.97 / $4,933.00 / $4,933.00	Facility		$1,300.97	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.02 / $1,300.97 / $1,351.01	Professional		$857.02	$1,300.97	$1,351.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,760.41 / $5,556.83 / $7,569.93	Facility		$4,760.41	$5,556.83	$7,569.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.24 / $1,284.88 / $2,398.44	Professional		$269.24	$1,284.88	$2,398.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $887.96 / $1,255.30 / $1,935.96	Professional		$887.96	$1,255.30	$1,935.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,083.63 / $4,933.00 / $4,933.00	Facility		$1,083.63	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,083.63 / $1,156.70 / $1,521.10	Professional		$1,083.63	$1,156.70	$1,521.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.17 / $741.63 / $1,250.93	Professional		$101.17	$741.63	$1,250.93
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 $1,086.08 / $1,291.56 / $1,757.64	Professional		$1,086.08	$1,291.56	$1,757.64