Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,304.61 / $4,933.00 / $5,757.00	Facility		$1,304.61	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $969.83 / $1,304.61 / $1,352.93	Professional		$969.83	$1,304.61	$1,352.93
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 $244.58 / $1,438.67 / $2,400.34	Professional		$244.58	$1,438.67	$2,400.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $869.25 / $1,325.20 / $1,801.17	Professional		$869.25	$1,325.20	$1,801.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,184.83 / $4,933.00 / $5,757.00	Facility		$1,184.83	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,116.07 / $1,184.83 / $1,725.06	Professional		$1,116.07	$1,184.83	$1,725.06
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 $1,078.15 / $1,436.44 / $1,842.93	Professional		$1,078.15	$1,436.44	$1,842.93