Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,475.88 / $4,933.00 / $5,757.00	Facility		$1,475.88	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $967.33 / $1,419.51 / $1,532.65	Professional		$967.33	$1,419.51	$1,532.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,648.17 / $5,455.59 / $7,391.46	Facility		$4,648.17	$5,455.59	$7,391.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.95 / $1,213.05 / $1,971.77	Professional		$329.95	$1,213.05	$1,971.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.37 / $1,212.10 / $2,283.42	Professional		$855.37	$1,212.10	$2,283.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,028.59 / $4,933.00 / $5,757.00	Facility		$1,028.59	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,028.59 / $1,203.46 / $1,689.09	Professional		$1,028.59	$1,203.46	$1,689.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.41 / $773.40 / $1,341.03	Professional		$138.41	$773.40	$1,341.03
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,049.11 / $1,235.18 / $1,635.00	Professional		$1,049.11	$1,235.18	$1,635.00