Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,438.27 / $4,933.00 / $4,933.00	Facility		$1,438.27	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.50 / $1,430.38 / $1,493.58	Professional		$1,010.50	$1,430.38	$1,493.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,165.52 / $6,062.80 / $8,214.12	Facility		$5,165.52	$6,062.80	$8,214.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.70 / $1,278.07 / $2,683.95	Professional		$289.70	$1,278.07	$2,683.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $823.28 / $1,304.72 / $2,380.42	Professional		$823.28	$1,304.72	$2,380.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,151.76 / $1,438.27 / $4,933.00	Facility		$1,151.76	$1,438.27	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,123.53 / $1,284.03 / $1,859.50	Professional		$1,123.53	$1,284.03	$1,859.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.64 / $767.02 / $1,295.67	Professional		$103.64	$767.02	$1,295.67
United Facility/Professional Facility Modifier Low / Median / High Price $4,561.00 / $8,995.00 / $12,767.00	Facility		$4,561.00	$8,995.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,144.57 / $1,330.05 / $1,819.26	Professional		$1,144.57	$1,330.05	$1,819.26