Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,439.82 / $4,933.00 / $4,933.00	Facility		$1,439.82	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.34 / $1,429.27 / $1,495.20	Professional		$1,012.34	$1,429.27	$1,495.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,999.86 / $4,694.67 / $6,360.53	Facility		$3,999.86	$4,694.67	$6,360.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.19 / $1,616.04 / $2,838.20	Professional		$289.19	$1,616.04	$2,838.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $822.80 / $1,351.63 / $2,380.88	Professional		$822.80	$1,351.63	$2,380.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,158.65 / $1,439.82 / $6,906.00	Facility		$1,158.65	$1,439.82	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,122.58 / $1,274.51 / $1,867.45	Professional		$1,122.58	$1,274.51	$1,867.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.57 / $754.67 / $1,265.78	Professional		$103.57	$754.67	$1,265.78
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 $1,135.39 / $1,359.72 / $1,829.47	Professional		$1,135.39	$1,359.72	$1,829.47