Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,501.46 / $4,933.00 / $4,933.00	Facility		$1,501.46	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.86 / $1,443.48 / $1,559.20	Professional		$1,052.86	$1,443.48	$1,559.20
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 $334.00 / $2,373.12 / $2,932.92	Professional		$334.00	$2,373.12	$2,932.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.86 / $1,318.04 / $2,436.98	Professional		$839.86	$1,318.04	$2,436.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,139.91 / $4,933.00 / $4,933.00	Facility		$1,139.91	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,139.91 / $1,305.18 / $1,887.95	Professional		$1,139.91	$1,305.18	$1,887.95
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 / $7,935.00 / $10,652.00	Facility		$4,069.00	$7,935.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,133.10 / $1,389.47 / $1,907.87	Professional		$1,133.10	$1,389.47	$1,907.87