Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,657.63 / $4,933.00 / $5,757.00	Facility		$1,657.63	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,163.63 / $1,642.53 / $1,721.38	Professional		$1,163.63	$1,642.53	$1,721.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,086.37 / $7,143.61 / $9,678.45	Facility		$6,086.37	$7,143.61	$9,678.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.70 / $1,859.22 / $3,265.27	Professional		$332.70	$1,859.22	$3,265.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $946.29 / $1,536.89 / $2,738.73	Professional		$946.29	$1,536.89	$2,738.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,340.48 / $4,933.00 / $5,757.00	Facility		$1,340.48	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,292.44 / $1,474.52 / $2,139.81	Professional		$1,292.44	$1,474.52	$2,139.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $877.74 / $1,480.69	Professional		$137.33	$877.74	$1,480.69
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 $1,351.92 / $1,585.17 / $2,125.23	Professional		$1,351.92	$1,585.17	$2,125.23