Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,383.64 / $4,933.00 / $5,757.00	Facility		$1,383.64	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $980.86 / $1,383.64 / $1,436.86	Professional		$980.86	$1,383.64	$1,436.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,691.02 / $6,679.59 / $9,049.78	Facility		$5,691.02	$6,679.59	$9,049.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.64 / $1,552.19 / $2,573.35	Professional		$291.64	$1,552.19	$2,573.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.74 / $1,284.72 / $2,339.17	Professional		$801.74	$1,284.72	$2,339.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,260.94 / $4,933.00 / $5,757.00	Facility		$1,260.94	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,082.65 / $1,260.94 / $1,735.71	Professional		$1,082.65	$1,260.94	$1,735.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.96 / $730.83 / $1,225.84	Professional		$102.96	$730.83	$1,225.84
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 $1,094.08 / $1,395.73 / $1,983.17	Professional		$1,094.08	$1,395.73	$1,983.17