Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,297.74 / $2,877.00 / $4,933.00	Facility		$1,297.74	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $869.23 / $1,297.74 / $1,550.90	Professional		$869.23	$1,297.74	$1,550.90
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 $269.85 / $1,001.64 / $1,678.94	Professional		$269.85	$1,001.64	$1,678.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.46 / $1,182.01 / $2,291.38	Professional		$735.46	$1,182.01	$2,291.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,051.36 / $2,877.00 / $4,933.00	Facility		$1,051.36	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,016.97 / $1,155.11 / $1,696.40	Professional		$1,016.97	$1,155.11	$1,696.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $756.46 / $1,200.71	Professional		$102.86	$756.46	$1,200.71
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 $1,024.83 / $1,193.08 / $1,672.94	Professional		$1,024.83	$1,193.08	$1,672.94