Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,372.90 / $4,933.00 / $5,757.00	Facility		$1,372.90	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.36 / $1,176.18 / $1,473.13	Professional		$992.36	$1,176.18	$1,473.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.55 / $5,493.44 / $7,584.24	Facility		$3,715.55	$5,493.44	$7,584.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.55 / $1,073.85 / $1,733.61	Professional		$275.55	$1,073.85	$1,733.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $939.82 / $1,288.10 / $2,545.80	Professional		$939.82	$1,288.10	$2,545.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,162.67 / $4,933.00 / $5,757.00	Facility		$1,162.67	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,056.29 / $1,216.41 / $1,738.96	Professional		$1,056.29	$1,216.41	$1,738.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $832.67 / $1,322.95	Professional		$68.38	$832.67	$1,322.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,702.00 / $10,351.00	Facility		$3,500.00	$8,702.00	$10,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,127.22 / $1,420.61 / $2,093.06	Professional		$1,127.22	$1,420.61	$2,093.06