Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.18 / $1,312.55 / $4,933.00	Facility		$1,169.18	$1,312.55	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.19 / $1,169.18 / $1,521.93	Professional		$841.19	$1,169.18	$1,521.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,189.15 / $3,717.07 / $5,036.04	Facility		$3,189.15	$3,717.07	$5,036.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.73 / $973.97 / $1,873.03	Professional		$254.73	$973.97	$1,873.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $830.76 / $1,120.73 / $4,162.27	Professional		$830.76	$1,120.73	$4,162.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,166.19 / $4,112.00 / $4,933.00	Facility		$1,166.19	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,082.84 / $1,169.18 / $1,541.33	Professional		$1,082.84	$1,169.18	$1,541.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.22 / $785.38 / $1,248.63	Professional		$102.22	$785.38	$1,248.63
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 $1,045.43 / $1,277.56 / $1,644.66	Professional		$1,045.43	$1,277.56	$1,644.66