Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,345.79 / $2,877.00 / $4,933.00	Facility		$1,345.79	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.44 / $1,318.86 / $1,397.56	Professional		$903.44	$1,318.86	$1,397.56
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 $261.52 / $1,069.92 / $1,763.08	Professional		$261.52	$1,069.92	$1,763.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.26 / $1,243.31 / $2,381.54	Professional		$767.26	$1,243.31	$2,381.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,127.49 / $2,877.00 / $4,933.00	Facility		$1,127.49	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,047.54 / $1,197.19 / $1,682.38	Professional		$1,047.54	$1,197.19	$1,682.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $793.60 / $1,265.49	Professional		$102.86	$793.60	$1,265.49
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 $1,096.04 / $1,276.39 / $1,727.04	Professional		$1,096.04	$1,276.39	$1,727.04