Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,285.33 / $4,933.00 / $4,933.00	Facility		$1,285.33	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $896.72 / $1,135.92 / $1,334.77	Professional		$896.72	$1,135.92	$1,334.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,624.89 / $4,254.56 / $5,764.25	Facility		$3,624.89	$4,254.56	$5,764.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.89 / $1,596.87 / $2,537.42	Professional		$268.89	$1,596.87	$2,537.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.85 / $1,094.73 / $2,124.94	Professional		$734.85	$1,094.73	$2,124.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,032.70 / $1,285.33 / $4,933.00	Facility		$1,032.70	$1,285.33	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,003.78 / $1,135.97 / $1,643.04	Professional		$1,003.78	$1,135.97	$1,643.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $683.30 / $1,160.93	Professional		$68.66	$683.30	$1,160.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,702.00 / $10,652.00	Facility		$3,500.00	$8,702.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $969.00 / $1,168.48 / $1,563.28	Professional		$969.00	$1,168.48	$1,563.28