Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.74 / $4,933.00 / $6,853.00	Facility		$1,169.74	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.33 / $1,169.74 / $1,267.22	Professional		$870.33	$1,169.74	$1,267.22
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 $261.49 / $1,405.05 / $2,440.35	Professional		$261.49	$1,405.05	$2,440.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $709.49 / $1,201.67 / $2,042.77	Professional		$709.49	$1,201.67	$2,042.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,049.30 / $4,933.00 / $6,853.00	Facility		$1,049.30	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,049.30 / $1,105.11 / $1,596.69	Professional		$1,049.30	$1,105.11	$1,596.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $762.66 / $1,201.32	Professional		$68.56	$762.66	$1,201.32
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 $1,078.83 / $1,232.96 / $1,670.10	Professional		$1,078.83	$1,232.96	$1,670.10