Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,576.54 / $4,933.00 / $4,933.00	Facility		$1,576.54	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,124.34 / $1,576.54 / $1,637.18	Professional		$1,124.34	$1,576.54	$1,637.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,814.67 / $6,787.47 / $9,246.40	Facility		$5,814.67	$6,787.47	$9,246.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.80 / $1,365.10 / $1,946.65	Professional		$321.80	$1,365.10	$1,946.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,097.97 / $1,414.39 / $2,442.59	Professional		$1,097.97	$1,414.39	$2,442.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,315.33 / $4,933.00 / $4,933.00	Facility		$1,315.33	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,315.33 / $1,399.53 / $2,126.33	Professional		$1,315.33	$1,399.53	$2,126.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.83 / $936.49 / $1,506.19	Professional		$101.83	$936.49	$1,506.19
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 $1,286.33 / $1,541.32 / $2,085.69	Professional		$1,286.33	$1,541.32	$2,085.69