Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.91 / $4,933.00 / $4,933.00	Facility		$1,496.91	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.58 / $1,480.13 / $1,554.49	Professional		$1,051.58	$1,480.13	$1,554.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,744.12 / $5,568.20 / $7,544.02	Facility		$4,744.12	$5,568.20	$7,544.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.27 / $1,490.35 / $2,861.47	Professional		$300.27	$1,490.35	$2,861.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.55 / $1,429.01 / $2,470.03	Professional		$868.55	$1,429.01	$2,470.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,096.49 / $1,496.91 / $4,933.00	Facility		$1,096.49	$1,496.91	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,096.49 / $1,260.96 / $1,874.90	Professional		$1,096.49	$1,260.96	$1,874.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.57 / $787.11 / $1,350.20	Professional		$103.57	$787.11	$1,350.20
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 $1,100.43 / $1,408.98 / $1,860.80	Professional		$1,100.43	$1,408.98	$1,860.80