Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,591.40 / $4,933.00 / $4,933.00	Facility		$1,591.40	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,591.40 / $1,652.61	Professional		$1,148.15	$1,591.40	$1,652.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.39 / $5,567.33 / $7,584.24	Facility		$4,769.39	$5,567.33	$7,584.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.84 / $1,934.36 / $2,789.94	Professional		$328.84	$1,934.36	$2,789.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $890.48 / $1,551.52 / $2,579.78	Professional		$890.48	$1,551.52	$2,579.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,432.65 / $4,933.00 / $4,933.00	Facility		$1,432.65	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,382.47 / $1,432.65 / $2,229.39	Professional		$1,382.47	$1,432.65	$2,229.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.51 / $935.00 / $1,472.50	Professional		$133.51	$935.00	$1,472.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,286.51 / $1,620.88 / $2,501.88	Professional		$1,286.51	$1,620.88	$2,501.88