Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,339.67 / $4,933.00 / $5,757.00	Facility		$1,339.67	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.84 / $1,324.75 / $1,391.20	Professional		$942.84	$1,324.75	$1,391.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,789.72 / $5,621.73 / $7,616.55	Facility		$4,789.72	$5,621.73	$7,616.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.86 / $1,496.84 / $2,628.84	Professional		$267.86	$1,496.84	$2,628.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.13 / $1,295.24 / $2,213.42	Professional		$763.13	$1,295.24	$2,213.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,095.58 / $4,933.00 / $5,757.00	Facility		$1,095.58	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,042.35 / $1,191.27 / $1,737.55	Professional		$1,042.35	$1,191.27	$1,737.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.57 / $724.36 / $1,219.04	Professional		$103.57	$724.36	$1,219.04
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 $1,095.58 / $1,317.04 / $1,715.97	Professional		$1,095.58	$1,317.04	$1,715.97