Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,504.16 / $4,933.00 / $6,853.00	Facility		$1,504.16	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,116.14 / $1,504.16 / $1,629.51	Professional		$1,116.14	$1,504.16	$1,629.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.39 / $5,567.33 / $7,584.24	Facility		$4,769.39	$5,567.33	$7,584.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.52 / $1,920.71 / $3,169.18	Professional		$326.52	$1,920.71	$3,169.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.96 / $1,440.08 / $2,657.03	Professional		$910.96	$1,440.08	$2,657.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,293.98 / $4,933.00 / $6,853.00	Facility		$1,293.98	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,293.98 / $1,420.10 / $1,932.39	Professional		$1,293.98	$1,420.10	$1,932.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.11 / $974.01 / $1,526.52	Professional		$103.11	$974.01	$1,526.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,310.46 / $1,551.71 / $2,075.40	Professional		$1,310.46	$1,551.71	$2,075.40