Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,489.33 / $4,933.00 / $4,933.00	Facility		$1,489.33	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,094.24 / $1,489.33 / $1,546.62	Professional		$1,094.24	$1,489.33	$1,546.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,802.84 / $5,597.88 / $7,584.24	Facility		$4,802.84	$5,597.88	$7,584.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.34 / $1,743.93 / $3,400.68	Professional		$331.34	$1,743.93	$3,400.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $833.01 / $1,462.62 / $2,418.08	Professional		$833.01	$1,462.62	$2,418.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,539.74 / $4,933.00 / $4,933.00	Facility		$1,539.74	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,294.54 / $1,539.74 / $2,098.19	Professional		$1,294.54	$1,539.74	$2,098.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.10 / $869.30 / $1,389.70	Professional		$103.10	$869.30	$1,389.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.63 / $1,622.35 / $2,405.71	Professional		$1,226.63	$1,622.35	$2,405.71