Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,794.75 / $4,933.00 / $4,933.00	Facility		$1,794.75	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,263.66 / $1,789.92 / $1,863.77	Professional		$1,263.66	$1,789.92	$1,863.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,954.58 / $6,988.93 / $9,468.89	Facility		$5,954.58	$6,988.93	$9,468.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.15 / $1,326.19 / $2,440.19	Professional		$375.15	$1,326.19	$2,440.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.44 / $1,511.77 / $2,989.74	Professional		$1,028.44	$1,511.77	$2,989.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,397.32 / $1,794.75 / $6,906.00	Facility		$1,397.32	$1,794.75	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,395.45 / $1,564.99 / $2,246.94	Professional		$1,395.45	$1,564.99	$2,246.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $974.49 / $1,630.06	Professional		$137.33	$974.49	$1,630.06
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 $1,342.38 / $1,613.62 / $2,102.89	Professional		$1,342.38	$1,613.62	$2,102.89