Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.85 / $4,933.00 / $4,933.00	Facility		$1,628.85	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,145.23 / $1,614.64 / $1,965.06	Professional		$1,145.23	$1,614.64	$1,965.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,943.20 / $6,975.57 / $9,450.79	Facility		$5,943.20	$6,975.57	$9,450.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.38 / $1,921.71 / $3,206.27	Professional		$363.38	$1,921.71	$3,206.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $929.90 / $1,492.13 / $2,693.24	Professional		$929.90	$1,492.13	$2,693.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,316.96 / $1,628.85 / $6,906.00	Facility		$1,316.96	$1,628.85	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,269.53 / $1,448.65 / $2,105.75	Professional		$1,269.53	$1,448.65	$2,105.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $871.41 / $1,468.00	Professional		$137.33	$871.41	$1,468.00
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 $1,316.96 / $1,575.99 / $2,094.46	Professional		$1,316.96	$1,575.99	$2,094.46