Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,636.48 / $4,112.00 / $4,933.00	Facility		$1,636.48	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,149.97 / $1,636.48 / $1,988.57	Professional		$1,149.97	$1,636.48	$1,988.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,579.56 / $15,636.14 / $36,719.39	Facility		$11,579.56	$15,636.14	$36,719.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.74 / $1,348.41 / $3,054.93	Professional		$329.74	$1,348.41	$3,054.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $936.90 / $1,465.29 / $2,709.26	Professional		$936.90	$1,465.29	$2,709.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,318.12 / $4,112.00 / $4,933.00	Facility		$1,318.12	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,285.59 / $1,461.24 / $2,137.38	Professional		$1,285.59	$1,461.24	$2,137.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $901.95 / $1,485.81	Professional		$137.33	$901.95	$1,485.81
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 $1,318.12 / $1,542.49 / $2,112.10	Professional		$1,318.12	$1,542.49	$2,112.10