Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,774.32 / $4,933.00 / $4,933.00	Facility		$1,774.32	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,246.24 / $1,755.91 / $1,842.56	Professional		$1,246.24	$1,755.91	$1,842.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,511.01 / $7,642.01 / $10,353.70	Facility		$6,511.01	$7,642.01	$10,353.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.73 / $2,197.15 / $3,609.61	Professional		$355.73	$2,197.15	$3,609.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,012.01 / $1,616.23 / $2,929.92	Professional		$1,012.01	$1,616.23	$2,929.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,421.52 / $1,774.32 / $4,933.00	Facility		$1,421.52	$1,774.32	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,382.99 / $1,563.67 / $2,291.14	Professional		$1,382.99	$1,563.67	$2,291.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $933.81 / $1,578.53	Professional		$137.33	$933.81	$1,578.53
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 $1,374.49 / $1,653.78 / $2,294.82	Professional		$1,374.49	$1,653.78	$2,294.82