Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,360.23 / $4,933.00 / $4,933.00	Facility		$1,360.23	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $998.35 / $1,360.23 / $1,410.61	Professional		$998.35	$1,360.23	$1,410.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,752.68 / $5,539.41 / $7,505.03	Facility		$4,752.68	$5,539.41	$7,505.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.74 / $1,497.43 / $2,358.46	Professional		$264.74	$1,497.43	$2,358.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $904.80 / $1,517.38 / $1,853.05	Professional		$904.80	$1,517.38	$1,853.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,253.98 / $4,933.00 / $4,933.00	Facility		$1,253.98	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,162.70 / $1,253.98 / $1,764.56	Professional		$1,162.70	$1,253.98	$1,764.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $912.81 / $1,375.56	Professional		$55.37	$912.81	$1,375.56
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $10,192.00 / $14,705.00	Facility		$5,000.00	$10,192.00	$14,705.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,165.05 / $1,526.37 / $1,995.26	Professional		$1,165.05	$1,526.37	$1,995.26