Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,927.02 / $4,933.00 / $5,757.00	Facility		$1,927.02	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,341.27 / $1,906.36 / $2,001.14	Professional		$1,341.27	$1,906.36	$2,001.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,083.70 / $8,314.18 / $11,264.39	Facility		$7,083.70	$8,314.18	$11,264.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.46 / $2,454.06 / $4,090.12	Professional		$454.46	$2,454.06	$4,090.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.45 / $1,565.47 / $3,183.18	Professional		$1,090.45	$1,565.47	$3,183.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,519.44 / $4,933.00 / $5,757.00	Facility		$1,519.44	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,502.40 / $1,671.38 / $2,412.44	Professional		$1,502.40	$1,671.38	$2,412.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $1,035.85 / $1,739.04	Professional		$137.33	$1,035.85	$1,739.04
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.61 / $1,721.45 / $2,327.28	Professional		$1,047.61	$1,721.45	$2,327.28