Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,487.13 / $4,112.00 / $4,933.00	Facility		$1,487.13	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,003.67 / $1,487.13 / $1,487.13	Professional		$1,003.67	$1,487.13	$1,487.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,745.07 / $3,202.03 / $4,505.02	Facility		$2,745.07	$3,202.03	$4,505.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $581.91 / $2,888.16 / $5,711.12	Professional		$581.91	$2,888.16	$5,711.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.06 / $1,289.33 / $4,848.78	Professional		$912.06	$1,289.33	$4,848.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,290.41 / $4,112.00 / $4,933.00	Facility		$1,290.41	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,290.41 / $1,290.41 / $1,960.48	Professional		$1,290.41	$1,290.41	$1,960.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
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 $1,115.88 / $1,414.54 / $1,876.49	Professional		$1,115.88	$1,414.54	$1,876.49