Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,626.70 / $4,933.00 / $5,757.00	Facility		$1,626.70	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,139.92 / $1,626.70 / $1,689.26	Professional		$1,139.92	$1,626.70	$1,689.26
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 $326.35 / $1,259.81 / $2,015.70	Professional		$326.35	$1,259.81	$2,015.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $909.59 / $1,458.66 / $2,644.53	Professional		$909.59	$1,458.66	$2,644.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,242.13 / $4,933.00 / $5,757.00	Facility		$1,242.13	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,242.13 / $1,421.10 / $2,074.29	Professional		$1,242.13	$1,421.10	$2,074.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.10 / $976.11 / $1,559.23	Professional		$103.10	$976.11	$1,559.23
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 $1,265.11 / $1,570.76 / $2,237.71	Professional		$1,265.11	$1,570.76	$2,237.71