Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,541.53 / $4,933.00 / $4,933.00	Facility		$1,541.53	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,081.00 / $1,541.53 / $1,600.82	Professional		$1,081.00	$1,541.53	$1,600.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.39 / $5,567.33 / $7,584.24	Facility		$4,769.39	$5,567.33	$7,584.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.70 / $1,713.98 / $2,841.59	Professional		$306.70	$1,713.98	$2,841.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $862.16 / $1,354.73 / $2,503.44	Professional		$862.16	$1,354.73	$2,503.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,179.96 / $4,933.00 / $4,933.00	Facility		$1,179.96	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,179.96 / $1,340.13 / $1,978.53	Professional		$1,179.96	$1,340.13	$1,978.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.11 / $903.44 / $1,433.92	Professional		$103.11	$903.44	$1,433.92
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 $1,195.32 / $1,430.78 / $1,936.13	Professional		$1,195.32	$1,430.78	$1,936.13