Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.62 / $4,933.00 / $4,933.00	Facility		$1,318.62	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $956.86 / $1,318.62 / $1,367.46	Professional		$956.86	$1,318.62	$1,367.46
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 $246.77 / $1,524.20 / $2,421.94	Professional		$246.77	$1,524.20	$2,421.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.58 / $1,431.97 / $1,774.79	Professional		$876.58	$1,431.97	$1,774.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,135.76 / $4,933.00 / $4,933.00	Facility		$1,135.76	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,126.63 / $1,135.76 / $1,708.11	Professional		$1,126.63	$1,135.76	$1,708.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $866.51 / $1,303.74	Professional		$55.37	$866.51	$1,303.74
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $10,092.00 / $15,216.40	Facility		$5,000.00	$10,092.00	$15,216.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,128.06 / $1,381.87 / $1,912.06	Professional		$1,128.06	$1,381.87	$1,912.06