Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,322.13 / $4,112.00 / $4,933.00	Facility		$1,322.13	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.60 / $1,322.13 / $1,322.13	Professional		$892.60	$1,322.13	$1,322.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,010.51 / $2,343.32 / $3,174.83	Facility		$2,010.51	$2,343.32	$3,174.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.76 / $1,624.81 / $2,668.12	Professional		$290.76	$1,624.81	$2,668.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $810.90 / $1,146.32 / $4,308.35	Professional		$810.90	$1,146.32	$4,308.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,147.06 / $4,112.00 / $4,933.00	Facility		$1,147.06	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,147.06 / $1,147.06 / $1,522.30	Professional		$1,147.06	$1,147.06	$1,522.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $440.91 / $440.91	Professional		$30.00	$440.91	$440.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $3,640.00 / $6,740.00	Facility		$1,527.00	$3,640.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.32 / $1,276.58 / $1,705.56	Professional		$1,054.32	$1,276.58	$1,705.56