Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,552.97 / $4,933.00 / $4,933.00	Facility		$1,552.97	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $846.47 / $1,552.97 / $1,612.70	Professional		$846.47	$1,552.97	$1,612.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,491.92 / $2,908.83 / $3,962.62	Facility		$2,491.92	$2,908.83	$3,962.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.70 / $1,145.97 / $2,039.47	Professional		$311.70	$1,145.97	$2,039.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.57 / $1,370.65 / $2,535.13	Professional		$848.57	$1,370.65	$2,535.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,030.18 / $2,032.00 / $4,933.00	Facility		$1,030.18	$2,032.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,030.18 / $1,227.18 / $1,946.18	Professional		$1,030.18	$1,227.18	$1,946.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.11 / $912.23 / $1,472.77	Professional		$103.11	$912.23	$1,472.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,058.02 / $1,311.60 / $1,972.75	Professional		$1,058.02	$1,311.60	$1,972.75