Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,970.51 / $4,933.00 / $6,906.00	Facility		$1,970.51	$4,933.00	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.58 / $1,970.51 / $2,162.60	Professional		$663.58	$1,970.51	$2,162.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,135.49 / $1,135.49 / $6,679.39	Facility		$1,135.49	$1,135.49	$6,679.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,135.49 / $5,510.50 / $7,681.30	Professional		$1,135.49	$5,510.50	$7,681.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,250.15 / $2,250.15 / $2,472.94	Professional		$2,250.15	$2,250.15	$2,472.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,295.05 / $4,933.00 / $40,862.46	Facility		$1,295.05	$4,933.00	$40,862.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,295.05 / $1,593.36 / $2,436.94	Professional		$1,295.05	$1,593.36	$2,436.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,063.30 / $1,435.45	Professional		$30.00	$1,063.30	$1,435.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,791.88 / $6,649.00 / $8,911.00	Facility		$1,791.88	$6,649.00	$8,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $709.81 / $919.58 / $2,948.42	Professional		$709.81	$919.58	$2,948.42