Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,739.02 / $4,933.00 / $4,933.00	Facility		$1,739.02	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,233.23 / $1,739.02 / $1,805.91	Professional		$1,233.23	$1,739.02	$1,805.91
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 $349.30 / $1,643.74 / $2,285.41	Professional		$349.30	$1,643.74	$2,285.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $996.59 / $1,439.86 / $2,970.08	Professional		$996.59	$1,439.86	$2,970.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,220.35 / $1,739.02 / $4,933.00	Facility		$1,220.35	$1,739.02	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,220.35 / $1,403.41 / $2,146.29	Professional		$1,220.35	$1,403.41	$2,146.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $920.68 / $1,557.24	Professional		$137.33	$920.68	$1,557.24
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 $1,299.09 / $1,535.76 / $2,014.82	Professional		$1,299.09	$1,535.76	$2,014.82