Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,655.03 / $4,933.00 / $5,757.00	Facility		$2,655.03	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,407.12 / $2,513.81 / $2,757.15	Professional		$1,407.12	$2,513.81	$2,757.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $620.38 / $620.38 / $1,938.70	Facility		$620.38	$620.38	$1,938.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $527.33 / $2,035.64 / $3,722.32	Professional		$527.33	$2,035.64	$3,722.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,545.81 / $2,158.52 / $4,059.47	Professional		$1,545.81	$2,158.52	$4,059.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,650.56 / $4,933.00 / $5,757.00	Facility		$1,650.56	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,650.56 / $2,063.19 / $3,186.49	Professional		$1,650.56	$2,063.19	$3,186.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.69 / $1,376.10 / $2,401.15	Professional		$207.69	$1,376.10	$2,401.15
United Facility/Professional Facility Modifier Low / Median / High Price $5,356.00 / $11,464.00 / $14,085.00	Facility		$5,356.00	$11,464.00	$14,085.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,842.13 / $2,269.48 / $3,104.29	Professional		$1,842.13	$2,269.48	$3,104.29