Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,504.95 / $2,877.00 / $4,933.00	Facility		$1,504.95	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,011.18 / $1,474.35 / $1,562.83	Professional		$1,011.18	$1,474.35	$1,562.83
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 $301.38 / $1,772.82 / $2,845.37	Professional		$301.38	$1,772.82	$2,845.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $857.99 / $1,400.51 / $2,663.28	Professional		$857.99	$1,400.51	$2,663.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,138.59 / $2,877.00 / $4,933.00	Facility		$1,138.59	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,138.59 / $1,309.39 / $1,894.22	Professional		$1,138.59	$1,309.39	$1,894.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.01 / $986.99 / $1,497.15	Professional		$131.01	$986.99	$1,497.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,176.38 / $1,411.55 / $1,938.63	Professional		$1,176.38	$1,411.55	$1,938.63