Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,280.67 / $4,112.00 / $4,933.00	Facility		$1,280.67	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.52 / $1,280.67 / $1,876.50	Professional		$1,000.52	$1,280.67	$1,876.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,490.25 / $4,074.17 / $5,550.14	Facility		$3,490.25	$4,074.17	$5,550.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.51 / $1,273.11 / $1,678.33	Professional		$256.51	$1,273.11	$1,678.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $935.04 / $1,202.91 / $2,064.64	Professional		$935.04	$1,202.91	$2,064.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,002.87 / $4,112.00 / $4,933.00	Facility		$1,002.87	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,002.87 / $1,139.53 / $1,876.50	Professional		$1,002.87	$1,139.53	$1,876.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $868.41 / $1,297.75	Professional		$98.87	$868.41	$1,297.75
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,849.00 / $9,202.00	Facility		$3,296.00	$7,849.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,134.18 / $1,370.90 / $1,790.50	Professional		$1,134.18	$1,370.90	$1,790.50