Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.36 / $4,933.00 / $6,853.00	Facility		$1,642.36	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.56 / $1,633.03 / $1,705.53	Professional		$1,153.56	$1,633.03	$1,705.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,900.90 / $6,925.92 / $9,383.53	Facility		$5,900.90	$6,925.92	$9,383.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.66 / $1,945.61 / $3,246.16	Professional		$369.66	$1,945.61	$3,246.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $939.99 / $1,408.24 / $2,716.85	Professional		$939.99	$1,408.24	$2,716.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,316.81 / $4,933.00 / $6,853.00	Facility		$1,316.81	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,282.35 / $1,448.49 / $2,130.14	Professional		$1,282.35	$1,448.49	$2,130.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $901.95 / $1,485.81	Professional		$137.33	$901.95	$1,485.81
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 $1,285.67 / $1,534.40 / $2,001.77	Professional		$1,285.67	$1,534.40	$2,001.77