Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,305.93 / $2,877.00 / $4,933.00	Facility		$1,305.93	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $879.58 / $1,305.93 / $1,356.16	Professional		$879.58	$1,305.93	$1,356.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,944.43 / $5,828.69 / $7,940.28	Facility		$3,944.43	$5,828.69	$7,940.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.94 / $1,111.72 / $2,505.71	Professional		$262.94	$1,111.72	$2,505.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.87 / $1,221.66 / $2,065.11	Professional		$852.87	$1,221.66	$2,065.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,069.39 / $2,877.00 / $4,933.00	Facility		$1,069.39	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,066.03 / $1,162.18 / $1,631.02	Professional		$1,066.03	$1,162.18	$1,631.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.32 / $840.60 / $1,287.41	Professional		$131.32	$840.60	$1,287.41
United Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $8,847.00 / $10,652.00	Facility		$896.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $960.62 / $1,236.73 / $1,672.62	Professional		$960.62	$1,236.73	$1,672.62