Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,291.45 / $4,933.00 / $4,933.00	Facility		$1,291.45	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.62 / $1,291.45 / $1,341.12	Professional		$851.62	$1,291.45	$1,341.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,700.21 / $5,486.56 / $7,474.21	Facility		$4,700.21	$5,486.56	$7,474.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.11 / $1,512.37 / $2,523.32	Professional		$257.11	$1,512.37	$2,523.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $882.18 / $1,247.34 / $1,923.58	Professional		$882.18	$1,247.34	$1,923.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,073.21 / $4,933.00 / $4,933.00	Facility		$1,073.21	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,073.21 / $1,162.89 / $1,548.31	Professional		$1,073.21	$1,162.89	$1,548.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.55 / $737.95 / $1,221.67	Professional		$103.55	$737.95	$1,221.67
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 $1,081.45 / $1,228.63 / $1,696.47	Professional		$1,081.45	$1,228.63	$1,696.47