Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,252.97 / $4,933.00 / $4,933.00	Facility		$1,252.97	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.21 / $1,252.97 / $1,345.84	Professional		$923.21	$1,252.97	$1,345.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,665.47 / $6,897.90 / $9,246.44	Facility		$4,665.47	$6,897.90	$9,246.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.52 / $1,217.99 / $2,064.40	Professional		$315.52	$1,217.99	$2,064.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,109.10 / $1,109.10 / $1,500.36	Professional		$1,109.10	$1,109.10	$1,500.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,123.44 / $4,933.00 / $4,933.00	Facility		$1,123.44	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,123.44 / $1,252.97 / $1,672.78	Professional		$1,123.44	$1,252.97	$1,672.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $961.46 / $1,517.11	Professional		$101.35	$961.46	$1,517.11
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,036.00	Facility		$850.00	$4,645.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,165.33 / $1,559.94 / $2,336.90	Professional		$1,165.33	$1,559.94	$2,336.90