Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,387.55 / $4,933.00 / $4,933.00	Facility		$1,387.55	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,008.69 / $1,387.55 / $1,387.55	Professional		$1,008.69	$1,387.55	$1,387.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,845.01 / $5,655.59 / $7,704.46	Facility		$4,845.01	$5,655.59	$7,704.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.22 / $1,005.61 / $1,789.66	Professional		$328.22	$1,005.61	$1,789.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $993.07 / $1,160.31 / $2,213.77	Professional		$993.07	$1,160.31	$2,213.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,063.74 / $4,933.00 / $4,933.00	Facility		$1,063.74	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,063.74 / $1,215.97 / $1,757.04	Professional		$1,063.74	$1,215.97	$1,757.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $868.38 / $1,352.76	Professional		$68.66	$868.38	$1,352.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,164.59 / $1,404.35 / $1,774.45	Professional		$1,164.59	$1,404.35	$1,774.45