Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,629.14 / $4,933.00 / $5,757.00	Facility		$1,629.14	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,147.43 / $1,624.37 / $1,691.80	Professional		$1,147.43	$1,624.37	$1,691.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,303.81 / $6,225.11 / $8,434.03	Facility		$5,303.81	$6,225.11	$8,434.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.86 / $1,922.71 / $3,207.94	Professional		$326.86	$1,922.71	$3,207.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.65 / $1,387.60 / $2,715.49	Professional		$932.65	$1,387.60	$2,715.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,262.09 / $4,933.00 / $5,757.00	Facility		$1,262.09	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,262.09 / $1,388.31 / $2,041.01	Professional		$1,262.09	$1,388.31	$2,041.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $857.93 / $1,466.09	Professional		$137.12	$857.93	$1,466.09
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 $1,262.09 / $1,490.87 / $1,875.08	Professional		$1,262.09	$1,490.87	$1,875.08