Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,216.02 / $4,933.00 / $4,933.00	Facility		$1,216.02	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.60 / $1,216.02 / $1,262.79	Professional		$806.60	$1,216.02	$1,262.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,403.55 / $3,972.97 / $5,412.27	Facility		$3,403.55	$3,972.97	$5,412.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.04 / $1,430.20 / $2,252.58	Professional		$286.04	$1,430.20	$2,252.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $834.06 / $1,183.33 / $1,816.52	Professional		$834.06	$1,183.33	$1,816.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,004.43 / $4,933.00 / $4,933.00	Facility		$1,004.43	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,004.43 / $1,083.53 / $1,457.82	Professional		$1,004.43	$1,083.53	$1,457.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.55 / $700.61 / $1,161.51	Professional		$103.55	$700.61	$1,161.51
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 $950.83 / $1,155.44 / $1,541.22	Professional		$950.83	$1,155.44	$1,541.22