Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,180.49 / $4,112.00 / $4,933.00	Facility		$1,180.49	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $911.34 / $1,180.49 / $1,180.49	Professional		$911.34	$1,180.49	$1,180.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,111.84 / $3,632.45 / $4,948.39	Facility		$3,111.84	$3,632.45	$4,948.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $904.71 / $1,531.05	Professional		$236.62	$904.71	$1,531.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $862.51 / $1,152.14 / $1,903.00	Professional		$862.51	$1,152.14	$1,903.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,026.60 / $4,112.00 / $4,933.00	Facility		$1,026.60	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,026.60 / $1,049.72 / $1,611.00	Professional		$1,026.60	$1,049.72	$1,611.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $802.35 / $1,203.79	Professional		$98.78	$802.35	$1,203.79
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 $1,065.50 / $1,305.44 / $1,750.47	Professional		$1,065.50	$1,305.44	$1,750.47