Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,883.56 / $4,933.00 / $4,933.00	Facility		$1,883.56	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,342.44 / $1,883.56 / $1,956.00	Professional		$1,342.44	$1,883.56	$1,956.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,934.00 / $8,094.07 / $11,026.35	Facility		$6,934.00	$8,094.07	$11,026.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.88 / $2,072.57 / $3,272.48	Professional		$370.88	$2,072.57	$3,272.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,315.67 / $1,825.31 / $2,923.49	Professional		$1,315.67	$1,825.31	$2,923.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,605.53 / $4,933.00 / $4,933.00	Facility		$1,605.53	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,605.53 / $1,674.62 / $2,647.29	Professional		$1,605.53	$1,674.62	$2,647.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.78 / $1,059.80 / $1,723.14	Professional		$172.78	$1,059.80	$1,723.14
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 $1,601.72 / $1,862.59 / $2,748.63	Professional		$1,601.72	$1,862.59	$2,748.63