Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,403.07 / $4,933.00 / $5,757.00	Facility		$1,403.07	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $986.56 / $1,237.01 / $1,457.03	Professional		$986.56	$1,237.01	$1,457.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,632.46 / $6,610.85 / $8,956.65	Facility		$5,632.46	$6,610.85	$8,956.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.24 / $975.14 / $1,826.77	Professional		$265.24	$975.14	$1,826.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $810.49 / $1,268.51 / $2,322.65	Professional		$810.49	$1,268.51	$2,322.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,125.72 / $4,933.00 / $5,757.00	Facility		$1,125.72	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,080.83 / $1,235.25 / $1,819.78	Professional		$1,080.83	$1,235.25	$1,819.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.64 / $751.64 / $1,271.25	Professional		$103.64	$751.64	$1,271.25
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 $1,133.60 / $1,389.82 / $1,929.17	Professional		$1,133.60	$1,389.82	$1,929.17