Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,664.17 / $2,056.00 / $4,933.00	Facility		$1,664.17	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,118.02 / $1,664.17 / $1,728.18	Professional		$1,118.02	$1,664.17	$1,728.18
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 $371.75 / $1,858.74 / $3,316.39	Professional		$371.75	$1,858.74	$3,316.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $947.32 / $1,486.87 / $2,944.36	Professional		$947.32	$1,486.87	$2,944.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,108.22 / $2,056.00 / $4,933.00	Facility		$1,108.22	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,108.22 / $1,296.60 / $2,073.80	Professional		$1,108.22	$1,296.60	$2,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $969.61 / $1,549.80	Professional		$137.33	$969.61	$1,549.80
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 $1,237.91 / $1,524.28 / $2,154.62	Professional		$1,237.91	$1,524.28	$2,154.62