Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,432.34 / $4,933.00 / $4,933.00	Facility		$1,432.34	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,005.21 / $1,432.34 / $1,487.43	Professional		$1,005.21	$1,432.34	$1,487.43
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 $285.13 / $1,593.34 / $2,893.17	Professional		$285.13	$1,593.34	$2,893.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.62 / $1,265.82 / $2,316.46	Professional		$801.62	$1,265.82	$2,316.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,103.82 / $4,933.00 / $4,933.00	Facility		$1,103.82	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,103.82 / $1,248.72 / $1,852.46	Professional		$1,103.82	$1,248.72	$1,852.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.73 / $855.57 / $1,362.11	Professional		$102.73	$855.57	$1,362.11
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 $1,124.76 / $1,339.00 / $1,913.83	Professional		$1,124.76	$1,339.00	$1,913.83