Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,742.77 / $4,933.00 / $4,933.00	Facility		$1,742.77	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $781.18 / $1,742.77 / $1,807.32	Professional		$781.18	$1,742.77	$1,807.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,282.84 / $4,991.80 / $6,763.10	Facility		$4,282.84	$4,991.80	$6,763.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.97 / $1,650.86 / $2,176.29	Professional		$369.97	$1,650.86	$2,176.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.28 / $1,386.40 / $2,094.42	Professional		$1,041.28	$1,386.40	$2,094.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,175.35 / $4,933.00 / $4,933.00	Facility		$1,175.35	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,175.35 / $1,453.40 / $1,869.06	Professional		$1,175.35	$1,453.40	$1,869.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $1,039.29 / $1,656.96	Professional		$101.34	$1,039.29	$1,656.96
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $9,143.00 / $12,767.00	Facility		$4,635.00	$9,143.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,134.40 / $1,562.98 / $2,135.34	Professional		$1,134.40	$1,562.98	$2,135.34