Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,798.71 / $4,933.00 / $5,757.00	Facility		$1,798.71	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,308.34 / $1,798.71 / $1,865.33	Professional		$1,308.34	$1,798.71	$1,865.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,825.20 / $4,458.39 / $6,040.42	Facility		$3,825.20	$4,458.39	$6,040.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.26 / $2,042.72 / $3,064.09	Professional		$347.26	$2,042.72	$3,064.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.90 / $1,289.85 / $2,569.69	Professional		$981.90	$1,289.85	$2,569.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,235.22 / $4,933.00 / $5,757.00	Facility		$1,235.22	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,235.22 / $1,445.20 / $2,090.96	Professional		$1,235.22	$1,445.20	$2,090.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.71 / $949.44 / $1,487.12	Professional		$136.71	$949.44	$1,487.12
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 $1,264.91 / $1,479.50 / $2,006.40	Professional		$1,264.91	$1,479.50	$2,006.40