Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,309.52 / $4,470.09 / $9,594.00	Facility		$1,309.52	$4,470.09	$9,594.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $654.76 / $679.95 / $3,426.50	Facility	52	$654.76	$679.95	$3,426.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.75 / $1,056.77 / $1,647.27	Professional		$831.75	$1,056.77	$1,647.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,416.00 / $6,322.10 / $8,612.44	Facility		$5,416.00	$6,322.10	$8,612.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.85 / $995.02 / $1,990.03	Professional		$290.85	$995.02	$1,990.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $732.63 / $1,151.70 / $2,126.29	Professional		$732.63	$1,151.70	$2,126.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,002.99 / $4,933.00 / $6,853.00	Facility		$1,002.99	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $654.76 / $3,426.50 / $3,426.50	Facility	52	$654.76	$3,426.50	$3,426.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $946.76 / $1,236.07 / $1,912.04	Professional		$946.76	$1,236.07	$1,912.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.73 / $759.12 / $1,235.49	Professional		$102.73	$759.12	$1,235.49
United Facility/Professional Facility Modifier Low / Median / High Price $3,986.00 / $7,800.00 / $10,652.00	Facility		$3,986.00	$7,800.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $985.52 / $1,236.00 / $1,651.06	Professional		$985.52	$1,236.00	$1,651.06