Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,707.52 / $4,933.00 / $5,757.00	Facility		$1,707.52	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,240.39 / $1,707.52 / $1,770.76	Professional		$1,240.39	$1,707.52	$1,770.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,701.20 / $4,313.87 / $5,844.61	Facility		$3,701.20	$4,313.87	$5,844.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.67 / $1,556.10 / $2,917.68	Professional		$330.67	$1,556.10	$2,917.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.01 / $1,268.08 / $2,425.82	Professional		$953.01	$1,268.08	$2,425.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,202.25 / $4,933.00 / $5,757.00	Facility		$1,202.25	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,202.25 / $1,406.63 / $2,014.87	Professional		$1,202.25	$1,406.63	$2,014.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.71 / $893.70 / $1,445.16	Professional		$136.71	$893.70	$1,445.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,500.00 / $10,556.00	Facility		$2,500.00	$7,500.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,241.46 / $1,430.34 / $1,969.18	Professional		$1,241.46	$1,430.34	$1,969.18