Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.89 / $4,112.00 / $4,933.00	Facility		$1,300.89	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $885.31 / $1,129.79 / $1,350.92	Professional		$885.31	$1,129.79	$1,350.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,414.54 / $5,181.37 / $7,019.93	Facility		$4,414.54	$5,181.37	$7,019.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.52 / $1,439.12 / $2,527.46	Professional		$257.52	$1,439.12	$2,527.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.40 / $1,206.59 / $2,243.01	Professional		$743.40	$1,206.59	$2,243.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,116.33 / $4,112.00 / $4,933.00	Facility		$1,116.33	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,013.38 / $1,158.15 / $1,678.80	Professional		$1,013.38	$1,158.15	$1,678.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.47 / $744.82 / $1,205.27	Professional		$101.47	$744.82	$1,205.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,702.00 / $10,652.00	Facility		$3,500.00	$8,702.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.54 / $1,265.45 / $1,754.63	Professional		$1,054.54	$1,265.45	$1,754.63