Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,066.63 / $1,642.68 / $4,933.00	Facility		$1,066.63	$1,642.68	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.75 / $1,279.95 / $1,724.81	Professional		$801.75	$1,279.95	$1,724.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,606.31 / $5,373.11 / $7,559.58	Facility		$4,606.31	$5,373.11	$7,559.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.38 / $897.07 / $1,708.70	Professional		$232.38	$897.07	$1,708.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.66 / $1,269.90 / $3,839.99	Professional		$794.66	$1,269.90	$3,839.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,530.16 / $4,112.00 / $4,933.00	Facility		$1,530.16	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,066.63 / $1,530.16 / $1,875.17	Professional		$1,066.63	$1,530.16	$1,875.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.45 / $972.28 / $1,582.73	Professional		$136.45	$972.28	$1,582.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,780.00 / $10,556.00	Facility		$3,296.00	$7,780.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,395.05 / $1,789.49 / $2,539.88	Professional		$1,395.05	$1,789.49	$2,539.88