Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.13 / $4,933.00 / $5,757.00	Facility		$1,872.13	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,342.89 / $1,640.70 / $2,280.29	Professional		$1,342.89	$1,640.70	$2,280.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,851.02 / $8,041.08 / $10,894.39	Facility		$6,851.02	$8,041.08	$10,894.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.37 / $2,097.65 / $3,684.02	Professional		$375.37	$2,097.65	$3,684.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.24 / $1,734.28 / $3,092.15	Professional		$1,068.24	$1,734.28	$3,092.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,522.79 / $4,933.00 / $5,757.00	Facility		$1,522.79	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,460.03 / $1,668.61 / $2,345.62	Professional		$1,460.03	$1,668.61	$2,345.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $980.24 / $1,688.25	Professional		$137.33	$980.24	$1,688.25
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 $1,506.80 / $1,777.06 / $2,415.15	Professional		$1,506.80	$1,777.06	$2,415.15