Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,314.20 / $4,933.00 / $4,933.00	Facility		$1,314.20	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.93 / $1,314.20 / $1,364.75	Professional		$871.93	$1,314.20	$1,364.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,724.99 / $5,507.14 / $7,461.30	Facility		$4,724.99	$5,507.14	$7,461.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $1,334.67 / $2,375.28	Professional		$287.52	$1,334.67	$2,375.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.85 / $1,279.24 / $1,962.01	Professional		$901.85	$1,279.24	$1,962.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,086.89 / $4,933.00 / $4,933.00	Facility		$1,086.89	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,086.89 / $1,185.19 / $1,912.61	Professional		$1,086.89	$1,185.19	$1,912.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.55 / $738.70 / $1,224.79	Professional		$103.55	$738.70	$1,224.79
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 $1,099.16 / $1,248.55 / $1,720.98	Professional		$1,099.16	$1,248.55	$1,720.98