Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,964.22 / $4,933.00 / $5,757.00	Facility		$1,964.22	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,379.71 / $1,941.78 / $2,039.77	Professional		$1,379.71	$1,941.78	$2,039.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,964.90 / $8,174.74 / $11,075.47	Facility		$6,964.90	$8,174.74	$11,075.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.74 / $2,316.11 / $3,752.09	Professional		$393.74	$2,316.11	$3,752.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,111.55 / $1,580.65 / $3,243.81	Professional		$1,111.55	$1,580.65	$3,243.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,554.44 / $4,933.00 / $5,757.00	Facility		$1,554.44	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,531.78 / $1,709.88 / $2,459.94	Professional		$1,531.78	$1,709.88	$2,459.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $1,046.08 / $1,774.21	Professional		$137.33	$1,046.08	$1,774.21
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 $1,107.48 / $1,758.30 / $2,459.04	Professional		$1,107.48	$1,758.30	$2,459.04