Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,559.66 / $4,933.00 / $4,933.00	Facility		$1,559.66	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.11 / $1,470.88 / $1,619.64	Professional		$804.11	$1,470.88	$1,619.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,880.27 / $2,206.88 / $2,989.98	Facility		$1,880.27	$2,206.88	$2,989.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.61 / $1,735.74 / $3,096.92	Professional		$310.61	$1,735.74	$3,096.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $906.67 / $1,329.84 / $2,565.27	Professional		$906.67	$1,329.84	$2,565.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $798.20 / $1,559.66 / $4,933.00	Facility		$798.20	$1,559.66	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $798.20 / $1,207.49 / $1,856.47	Professional		$798.20	$1,207.49	$1,856.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $1,006.77 / $1,554.00	Professional		$161.71	$1,006.77	$1,554.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $3,394.45 / $6,307.11	Facility		$1,334.00	$3,394.45	$6,307.11
United Facility/Professional Professional Modifier Low / Median / High Price $978.83 / $1,152.33 / $1,615.16	Professional		$978.83	$1,152.33	$1,615.16