Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,795.80 / $4,933.00 / $4,933.00	Facility		$1,795.80	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,259.51 / $1,795.80 / $1,864.87	Professional		$1,259.51	$1,795.80	$1,864.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,968.13 / $5,799.31 / $7,900.25	Facility		$4,968.13	$5,799.31	$7,900.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.26 / $2,002.08 / $2,845.06	Professional		$358.26	$2,002.08	$2,845.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,004.52 / $1,813.99 / $2,915.76	Professional		$1,004.52	$1,813.99	$2,915.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,543.07 / $4,933.00 / $4,933.00	Facility		$1,543.07	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,543.07 / $1,565.89 / $2,412.82	Professional		$1,543.07	$1,565.89	$2,412.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.51 / $1,043.96 / $1,682.17	Professional		$133.51	$1,043.96	$1,682.17
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,849.00 / $9,202.00	Facility		$3,296.00	$7,849.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,556.53 / $1,781.47 / $2,630.26	Professional		$1,556.53	$1,781.47	$2,630.26