Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,877.00 / $4,933.00	Facility		$1,550.00	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,126.85 / $1,361.39 / $1,609.61	Professional		$1,126.85	$1,361.39	$1,609.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.39 / $5,597.88 / $7,584.24	Facility		$4,769.39	$5,597.88	$7,584.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.32 / $1,504.07 / $3,144.87	Professional		$322.32	$1,504.07	$3,144.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.46 / $1,512.33 / $2,739.21	Professional		$902.46	$1,512.33	$2,739.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,321.13 / $2,877.00 / $4,933.00	Facility		$1,321.13	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,196.30 / $1,367.20 / $2,010.35	Professional		$1,196.30	$1,367.20	$2,010.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.47 / $850.32 / $1,384.08	Professional		$103.47	$850.32	$1,384.08
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 $1,290.07 / $1,560.97 / $2,179.85	Professional		$1,290.07	$1,560.97	$2,179.85