Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,732.48 / $4,933.00 / $6,906.00	Facility		$1,732.48	$4,933.00	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,171.19 / $1,399.83 / $1,799.12	Professional		$1,171.19	$1,399.83	$1,799.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,626.51 / $7,777.57 / $10,537.37	Facility		$6,626.51	$7,777.57	$10,537.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.03 / $1,381.86 / $2,354.28	Professional		$348.03	$1,381.86	$2,354.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,007.10 / $1,532.75 / $2,992.27	Professional		$1,007.10	$1,532.75	$2,992.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,471.04 / $1,799.11 / $6,906.00	Facility		$1,471.04	$1,799.11	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,272.57 / $1,525.12 / $2,331.21	Professional		$1,272.57	$1,525.12	$2,331.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.88 / $929.76 / $1,564.23	Professional		$136.88	$929.76	$1,564.23
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 $1,373.27 / $1,666.14 / $2,359.76	Professional		$1,373.27	$1,666.14	$2,359.76