Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,280.77 / $4,933.00 / $5,757.00	Facility		$1,280.77	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.28 / $1,280.77 / $1,330.03	Professional		$907.28	$1,280.77	$1,330.03
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 $276.27 / $1,689.41 / $2,620.01	Professional		$276.27	$1,689.41	$2,620.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.13 / $1,178.68 / $2,209.23	Professional		$745.13	$1,178.68	$2,209.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,017.27 / $4,933.00 / $5,757.00	Facility		$1,017.27	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $993.48 / $1,129.71 / $1,661.16	Professional		$993.48	$1,129.71	$1,661.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $690.80 / $1,141.49	Professional		$68.56	$690.80	$1,141.49
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 $1,024.49 / $1,215.50 / $1,704.35	Professional		$1,024.49	$1,215.50	$1,704.35