Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,651.26 / $4,933.00 / $4,933.00	Facility		$1,651.26	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,187.95 / $1,651.26 / $1,712.42	Professional		$1,187.95	$1,651.26	$1,712.42
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 $307.81 / $1,936.53 / $3,020.99	Professional		$307.81	$1,936.53	$3,020.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,095.76 / $1,799.93 / $2,198.96	Professional		$1,095.76	$1,799.93	$2,198.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,419.61 / $4,933.00 / $4,933.00	Facility		$1,419.61	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,408.59 / $1,419.61 / $1,861.53	Professional		$1,408.59	$1,419.61	$1,861.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $1,046.22 / $1,608.42	Professional		$107.55	$1,046.22	$1,608.42
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 $1,417.74 / $1,774.12 / $2,394.98	Professional		$1,417.74	$1,774.12	$2,394.98