Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.49 / $4,933.00 / $6,853.00	Facility		$1,214.49	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.83 / $1,214.49 / $1,315.70	Professional		$903.83	$1,214.49	$1,315.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,663.47 / $5,443.67 / $7,415.78	Facility		$4,663.47	$5,443.67	$7,415.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.37 / $1,461.82 / $2,567.34	Professional		$292.37	$1,461.82	$2,567.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.71 / $1,199.82 / $2,117.23	Professional		$736.71	$1,199.82	$2,117.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,085.93 / $4,933.00 / $6,853.00	Facility		$1,085.93	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,085.93 / $1,150.85 / $1,560.26	Professional		$1,085.93	$1,150.85	$1,560.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $793.60 / $1,244.47	Professional		$68.66	$793.60	$1,244.47
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 $1,082.35 / $1,278.88 / $1,721.53	Professional		$1,082.35	$1,278.88	$1,721.53