Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,310.04 / $4,933.00 / $6,853.00	Facility		$1,310.04	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.63 / $1,310.04 / $1,419.21	Professional		$973.63	$1,310.04	$1,419.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,802.84 / $5,597.88 / $7,584.24	Facility		$4,802.84	$5,597.88	$7,584.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.27 / $1,658.77 / $2,612.58	Professional		$293.27	$1,658.77	$2,612.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.12 / $1,276.19 / $2,297.03	Professional		$794.12	$1,276.19	$2,297.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,145.70 / $4,933.00 / $6,853.00	Facility		$1,145.70	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,145.70 / $1,234.09 / $1,683.01	Professional		$1,145.70	$1,234.09	$1,683.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $838.69 / $1,323.95	Professional		$68.66	$838.69	$1,323.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $7,935.00 / $10,652.00	Facility		$4,069.00	$7,935.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,142.07 / $1,367.22 / $1,849.32	Professional		$1,142.07	$1,367.22	$1,849.32