Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,387.25 / $4,933.00 / $4,933.00	Facility		$1,387.25	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.88 / $1,381.81 / $1,440.61	Professional		$931.88	$1,381.81	$1,440.61
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 $275.13 / $1,618.44 / $2,700.29	Professional		$275.13	$1,618.44	$2,700.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.24 / $1,308.75 / $2,516.86	Professional		$800.24	$1,308.75	$2,516.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,149.57 / $1,387.25 / $6,906.00	Facility		$1,149.57	$1,387.25	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,064.82 / $1,212.69 / $1,782.71	Professional		$1,064.82	$1,212.69	$1,782.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.01 / $886.93 / $1,336.13	Professional		$131.01	$886.93	$1,336.13
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 $1,120.50 / $1,327.98 / $1,827.39	Professional		$1,120.50	$1,327.98	$1,827.39