Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,517.75 / $4,933.00 / $5,757.00	Facility		$1,517.75	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,066.58 / $1,517.75 / $2,998.25	Professional		$1,066.58	$1,517.75	$2,998.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,502.32 / $6,458.10 / $8,749.70	Facility		$5,502.32	$6,458.10	$8,749.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.90 / $1,794.23 / $2,906.65	Professional		$340.90	$1,794.23	$2,906.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.64 / $1,401.96 / $2,509.80	Professional		$867.64	$1,401.96	$2,509.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,222.76 / $4,933.00 / $5,757.00	Facility		$1,222.76	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,192.82 / $1,352.78 / $2,111.36	Professional		$1,192.82	$1,352.78	$2,111.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $819.43 / $1,371.65	Professional		$137.33	$819.43	$1,371.65
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 $1,194.49 / $1,430.89 / $1,937.31	Professional		$1,194.49	$1,430.89	$1,937.31