Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,785.96 / $4,933.00 / $5,757.00	Facility		$1,785.96	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,298.06 / $1,762.48 / $1,854.65	Professional		$1,298.06	$1,762.48	$1,854.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,512.63 / $7,643.91 / $10,356.29	Facility		$6,512.63	$7,643.91	$10,356.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.96 / $1,983.63 / $3,483.78	Professional		$354.96	$1,983.63	$3,483.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,029.76 / $1,654.44 / $2,981.74	Professional		$1,029.76	$1,654.44	$2,981.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,735.53 / $4,933.00 / $5,757.00	Facility		$1,735.53	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,384.19 / $1,735.53 / $2,313.46	Professional		$1,384.19	$1,735.53	$2,313.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $944.97 / $1,581.21	Professional		$137.33	$944.97	$1,581.21
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 $1,431.67 / $1,775.70 / $2,423.54	Professional		$1,431.67	$1,775.70	$2,423.54