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 $3,816.79 / $4,455.35 / $6,069.41	Facility		$3,816.79	$4,455.35	$6,069.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.88 / $999.35 / $1,693.84	Professional		$258.88	$999.35	$1,693.84
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 $848.69 / $4,933.00 / $4,933.00	Facility		$848.69	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $848.69 / $1,060.85 / $1,496.96	Professional		$848.69	$1,060.85	$1,496.96
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 $980.80 / $1,099.20 / $1,615.52	Professional		$980.80	$1,099.20	$1,615.52