Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,285.06 / $4,933.00 / $4,933.00	Facility		$1,285.06	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $939.31 / $1,285.06 / $1,332.66	Professional		$939.31	$1,285.06	$1,332.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,858.89 / $3,332.14 / $4,514.52	Facility		$2,858.89	$3,332.14	$4,514.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.24 / $1,342.61 / $1,907.91	Professional		$267.24	$1,342.61	$1,907.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $854.50 / $1,352.73 / $1,743.04	Professional		$854.50	$1,352.73	$1,743.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,140.76 / $4,933.00 / $4,933.00	Facility		$1,140.76	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,097.38 / $1,140.76 / $1,669.37	Professional		$1,097.38	$1,140.76	$1,669.37
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 $3,296.00 / $7,780.00 / $10,556.00	Facility		$3,296.00	$7,780.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,060.66 / $1,418.18 / $1,893.69	Professional		$1,060.66	$1,418.18	$1,893.69