Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,701.89 / $4,933.00 / $4,933.00	Facility		$1,701.89	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.16 / $1,701.89 / $1,767.35	Professional		$1,214.16	$1,701.89	$1,767.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,286.47 / $7,338.21 / $9,996.66	Facility		$6,286.47	$7,338.21	$9,996.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.29 / $1,862.52 / $3,087.88	Professional		$333.29	$1,862.52	$3,087.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $973.63 / $1,691.20 / $2,635.18	Professional		$973.63	$1,691.20	$2,635.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,451.29 / $4,933.00 / $4,933.00	Facility		$1,451.29	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,451.29 / $1,509.12 / $2,388.05	Professional		$1,451.29	$1,509.12	$2,388.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.42 / $969.74 / $1,590.62	Professional		$133.42	$969.74	$1,590.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.08 / $1,664.74 / $2,284.77	Professional		$1,445.08	$1,664.74	$2,284.77