Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.13 / $4,933.00 / $4,933.00	Facility		$1,758.13	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,248.94 / $1,758.13 / $1,825.75	Professional		$1,248.94	$1,758.13	$1,825.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,055.63 / $3,586.41 / $4,859.02	Facility		$3,055.63	$3,586.41	$4,859.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.12 / $1,975.59 / $3,524.88	Professional		$395.12	$1,975.59	$3,524.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.60 / $1,451.81 / $2,947.81	Professional		$1,008.60	$1,451.81	$2,947.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,260.34 / $1,758.13 / $6,906.00	Facility		$1,260.34	$1,758.13	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,260.34 / $1,449.40 / $2,087.28	Professional		$1,260.34	$1,449.40	$2,087.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $943.67 / $1,578.22	Professional		$137.12	$943.67	$1,578.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,282.10 / $1,542.68 / $2,150.82	Professional		$1,282.10	$1,542.68	$2,150.82