Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,448.02 / $4,933.00 / $4,933.00	Facility		$1,448.02	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,018.12 / $1,437.35 / $1,503.72	Professional		$1,018.12	$1,437.35	$1,503.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,624.89 / $4,254.56 / $5,764.25	Facility		$3,624.89	$4,254.56	$5,764.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.88 / $1,625.51 / $2,854.82	Professional		$290.88	$1,625.51	$2,854.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.35 / $1,396.57 / $2,394.54	Professional		$827.35	$1,396.57	$2,394.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,183.88 / $1,448.02 / $6,906.00	Facility		$1,183.88	$1,448.02	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,129.29 / $1,290.61 / $1,878.08	Professional		$1,129.29	$1,290.61	$1,878.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.57 / $754.67 / $1,285.35	Professional		$103.57	$754.67	$1,285.35
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 $1,135.09 / $1,414.00 / $1,844.47	Professional		$1,135.09	$1,414.00	$1,844.47