Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,370.30 / $4,933.00 / $5,757.00	Facility		$1,370.30	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.63 / $1,370.30 / $1,484.49	Professional		$1,019.63	$1,370.30	$1,484.49
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 $306.20 / $1,731.98 / $2,889.71	Professional		$306.20	$1,731.98	$2,889.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.25 / $1,343.59 / $2,391.44	Professional		$831.25	$1,343.59	$2,391.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,202.96 / $4,933.00 / $5,757.00	Facility		$1,202.96	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,202.96 / $1,294.08 / $1,760.42	Professional		$1,202.96	$1,294.08	$1,760.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $883.57 / $1,377.84	Professional		$68.66	$883.57	$1,377.84
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 $1,227.44 / $1,417.96 / $1,952.33	Professional		$1,227.44	$1,417.96	$1,952.33