Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.84 / $4,933.00 / $4,933.00	Facility		$1,508.84	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,074.40 / $1,508.84 / $1,566.87	Professional		$1,074.40	$1,508.84	$1,566.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,157.49 / $3,705.97 / $5,021.00	Facility		$3,157.49	$3,705.97	$5,021.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.14 / $1,255.22 / $2,799.25	Professional		$302.14	$1,255.22	$2,799.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.80 / $1,345.39 / $2,534.13	Professional		$863.80	$1,345.39	$2,534.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,158.40 / $1,508.84 / $6,906.00	Facility		$1,158.40	$1,508.84	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,158.40 / $1,295.31 / $1,884.96	Professional		$1,158.40	$1,295.31	$1,884.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.11 / $807.20 / $1,350.54	Professional		$103.11	$807.20	$1,350.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,187.23 / $1,381.80 / $1,828.70	Professional		$1,187.23	$1,381.80	$1,828.70