Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,201.15 / $4,933.00 / $6,853.00	Facility		$1,201.15	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.16 / $1,201.15 / $1,301.24	Professional		$893.16	$1,201.15	$1,301.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.39 / $5,567.33 / $7,584.24	Facility		$4,769.39	$5,567.33	$7,584.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.38 / $1,056.58 / $2,393.75	Professional		$258.38	$1,056.58	$2,393.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $728.42 / $1,212.47 / $2,101.84	Professional		$728.42	$1,212.47	$2,101.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,074.85 / $4,933.00 / $6,853.00	Facility		$1,074.85	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,074.85 / $1,132.46 / $1,543.12	Professional		$1,074.85	$1,132.46	$1,543.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $789.64 / $1,229.72	Professional		$68.66	$789.64	$1,229.72
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,093.47 / $1,291.26 / $1,863.26	Professional		$1,093.47	$1,291.26	$1,863.26