Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,576.64 / $4,112.00 / $4,933.00	Facility		$1,576.64	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,110.03 / $1,576.64 / $1,637.28	Professional		$1,110.03	$1,576.64	$1,637.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,247.15 / $6,125.00 / $8,343.94	Facility		$5,247.15	$6,125.00	$8,343.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.27 / $1,922.63 / $3,055.06	Professional		$311.27	$1,922.63	$3,055.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $883.93 / $1,502.76 / $2,523.96	Professional		$883.93	$1,502.76	$2,523.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,281.70 / $4,112.00 / $4,933.00	Facility		$1,281.70	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,281.70 / $1,380.48 / $2,130.55	Professional		$1,281.70	$1,380.48	$2,130.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $1,043.56 / $1,577.61	Professional		$98.87	$1,043.56	$1,577.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,849.00 / $9,202.00	Facility		$3,296.00	$7,849.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,322.49 / $1,523.12 / $2,064.05	Professional		$1,322.49	$1,523.12	$2,064.05