Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.30 / $4,933.00 / $4,933.00	Facility		$1,791.30	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,277.65 / $1,791.30 / $1,860.20	Professional		$1,277.65	$1,791.30	$1,860.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,009.91 / $7,015.38 / $9,556.87	Facility		$6,009.91	$7,015.38	$9,556.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.38 / $2,065.13 / $3,407.46	Professional		$392.38	$2,065.13	$3,407.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,024.53 / $1,782.39 / $2,776.00	Professional		$1,024.53	$1,782.39	$2,776.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,516.43 / $4,933.00 / $4,933.00	Facility		$1,516.43	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,516.43 / $1,588.63 / $2,513.36	Professional		$1,516.43	$1,588.63	$2,513.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.98 / $1,020.73 / $1,663.39	Professional		$138.98	$1,020.73	$1,663.39
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 $1,530.17 / $1,781.82 / $2,351.86	Professional		$1,530.17	$1,781.82	$2,351.86