Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,442.14 / $4,933.00 / $4,933.00	Facility		$1,442.14	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,066.31 / $1,341.23 / $1,495.55	Professional		$1,066.31	$1,341.23	$1,495.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,170.60 / $6,026.53 / $8,164.98	Facility		$5,170.60	$6,026.53	$8,164.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.91 / $1,007.79 / $1,724.56	Professional		$304.91	$1,007.79	$1,724.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $971.98 / $1,617.45 / $1,794.29	Professional		$971.98	$1,617.45	$1,794.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,195.30 / $4,933.00 / $4,933.00	Facility		$1,195.30	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,086.89 / $1,236.39 / $1,630.33	Professional		$1,086.89	$1,236.39	$1,630.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $872.70 / $1,367.95	Professional		$69.20	$872.70	$1,367.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,223.39 / $1,502.47 / $2,084.25	Professional		$1,223.39	$1,502.47	$2,084.25