Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,403.81 / $4,933.00 / $5,757.00	Facility		$1,403.81	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.54 / $1,252.73 / $1,457.80	Professional		$865.54	$1,252.73	$1,457.80
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 $280.38 / $1,185.44 / $2,968.76	Professional		$280.38	$1,185.44	$2,968.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.99 / $1,215.46 / $2,305.15	Professional		$792.99	$1,215.46	$2,305.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,032.53 / $4,933.00 / $5,757.00	Facility		$1,032.53	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,032.53 / $1,156.43 / $1,759.25	Professional		$1,032.53	$1,156.43	$1,759.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.11 / $789.11 / $1,299.26	Professional		$103.11	$789.11	$1,299.26
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 $1,016.43 / $1,269.51 / $2,021.30	Professional		$1,016.43	$1,269.51	$2,021.30