Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,362.68 / $4,933.00 / $4,933.00	Facility		$1,362.68	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.19 / $1,362.68 / $1,362.68	Professional		$1,016.19	$1,362.68	$1,362.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,611.33 / $6,550.11 / $8,923.04	Facility		$5,611.33	$6,550.11	$8,923.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.50 / $1,682.64 / $3,004.70	Professional		$320.50	$1,682.64	$3,004.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $993.58 / $1,295.63 / $2,194.32	Professional		$993.58	$1,295.63	$2,194.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,216.64 / $4,933.00 / $4,933.00	Facility		$1,216.64	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,210.96 / $1,216.64 / $1,821.39	Professional		$1,210.96	$1,216.64	$1,821.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $921.29 / $1,378.35	Professional		$98.87	$921.29	$1,378.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $4,056.00 / $6,036.00	Facility		$1,713.00	$4,056.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,232.24 / $1,474.39 / $1,989.59	Professional		$1,232.24	$1,474.39	$1,989.59