Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.44 / $4,933.00 / $4,933.00	Facility		$1,272.44	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.75 / $1,264.82 / $1,321.38	Professional		$854.75	$1,264.82	$1,321.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,841.75 / $5,682.79 / $7,699.27	Facility		$4,841.75	$5,682.79	$7,699.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.55 / $1,002.36 / $2,383.39	Professional		$262.55	$1,002.36	$2,383.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.35 / $1,190.47 / $2,305.96	Professional		$734.35	$1,190.47	$2,305.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,051.73 / $1,272.44 / $4,933.00	Facility		$1,051.73	$1,272.44	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $975.96 / $1,113.25 / $1,596.22	Professional		$975.96	$1,113.25	$1,596.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $751.17 / $1,186.66	Professional		$102.86	$751.17	$1,186.66
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,327.00	Facility		$850.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,003.09 / $1,227.42 / $1,674.14	Professional		$1,003.09	$1,227.42	$1,674.14