Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.25 / $4,933.00 / $5,757.00	Facility		$1,671.25	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.63 / $1,581.77 / $1,735.53	Professional		$830.63	$1,581.77	$1,735.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,335.88 / $1,335.88 / $1,335.88	Facility		$1,335.88	$1,335.88	$1,335.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,135.49 / $6,345.42 / $8,349.24	Professional		$1,135.49	$6,345.42	$8,349.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $946.13 / $1,265.58 / $2,834.79	Professional		$946.13	$1,265.58	$2,834.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $768.28 / $4,933.00 / $5,757.00	Facility		$768.28	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $768.28 / $804.73 / $1,735.53	Professional		$768.28	$804.73	$1,735.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $454.79	Professional		$30.00	$30.00	$454.79
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $784.65 / $932.10 / $1,661.09	Professional		$784.65	$932.10	$1,661.09