Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,968.22 / $4,933.00 / $5,757.00	Facility		$1,968.22	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,382.44 / $1,968.22 / $2,043.92	Professional		$1,382.44	$1,968.22	$2,043.92
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 $413.61 / $1,506.12 / $2,664.68	Professional		$413.61	$1,506.12	$2,664.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,101.96 / $1,943.20 / $3,168.81	Professional		$1,101.96	$1,943.20	$3,168.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,420.90 / $4,933.00 / $5,757.00	Facility		$1,420.90	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,420.90 / $1,442.00 / $2,668.09	Professional		$1,420.90	$1,442.00	$2,668.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $1,153.17 / $1,858.96	Professional		$137.33	$1,153.17	$1,858.96
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 $1,620.76 / $1,868.44 / $2,472.34	Professional		$1,620.76	$1,868.44	$2,472.34