Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,658.65 / $4,933.00 / $4,933.00	Facility		$1,658.65	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,170.76 / $1,658.65 / $1,722.44	Professional		$1,170.76	$1,658.65	$1,722.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,442.30 / $15,777.31 / $21,375.75	Facility		$13,442.30	$15,777.31	$21,375.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.72 / $1,288.25 / $3,327.36	Professional		$333.72	$1,288.25	$3,327.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.01 / $1,483.02 / $2,759.46	Professional		$950.01	$1,483.02	$2,759.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,283.01 / $4,933.00 / $6,907.00	Facility		$1,283.01	$4,933.00	$6,907.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,283.01 / $1,412.36 / $2,083.65	Professional		$1,283.01	$1,412.36	$2,083.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $880.14 / $1,501.70	Professional		$137.33	$880.14	$1,501.70
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 $1,279.31 / $1,507.85 / $2,091.19	Professional		$1,279.31	$1,507.85	$2,091.19