Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.15 / $4,933.00 / $4,933.00	Facility		$1,584.15	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,066.68 / $1,584.15 / $1,645.08	Professional		$1,066.68	$1,584.15	$1,645.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,359.15 / $6,290.07 / $8,522.04	Facility		$5,359.15	$6,290.07	$8,522.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.87 / $1,770.74 / $3,215.30	Professional		$316.87	$1,770.74	$3,215.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $906.64 / $1,384.57 / $2,897.67	Professional		$906.64	$1,384.57	$2,897.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,160.44 / $1,584.15 / $4,933.00	Facility		$1,160.44	$1,584.15	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,160.44 / $1,334.50 / $1,941.40	Professional		$1,160.44	$1,334.50	$1,941.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $1,022.79 / $1,561.55	Professional		$131.13	$1,022.79	$1,561.55
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,327.00	Facility		$850.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,193.01 / $1,411.61 / $2,012.11	Professional		$1,193.01	$1,411.61	$2,012.11