Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.55 / $4,933.00 / $4,933.00	Facility		$1,390.55	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.60 / $1,390.55 / $1,704.82	Professional		$1,016.60	$1,390.55	$1,704.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,494.90 / $2,912.30 / $3,967.35	Facility		$2,494.90	$2,912.30	$3,967.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.58 / $1,470.60 / $1,938.66	Professional		$329.58	$1,470.60	$1,938.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,036.82 / $1,269.60 / $2,395.62	Professional		$1,036.82	$1,269.60	$2,395.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,206.93 / $4,933.00 / $4,933.00	Facility		$1,206.93	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,205.82 / $1,320.79 / $1,949.27	Professional		$1,205.82	$1,320.79	$1,949.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.47 / $861.20 / $1,413.02	Professional		$103.47	$861.20	$1,413.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,274.36 / $1,526.33 / $2,075.75	Professional		$1,274.36	$1,526.33	$2,075.75