Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,826.96 / $4,933.00 / $4,933.00	Facility		$1,826.96	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,218.02 / $1,826.96 / $1,897.23	Professional		$1,218.02	$1,826.96	$1,897.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,626.51 / $7,735.13 / $10,537.37	Facility		$6,626.51	$7,735.13	$10,537.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.39 / $1,413.21 / $2,418.34	Professional		$384.39	$1,413.21	$2,418.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,214.79 / $1,770.71 / $2,814.80	Professional		$1,214.79	$1,770.71	$2,814.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,506.10 / $4,933.00 / $4,933.00	Facility		$1,506.10	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,506.10 / $1,659.15 / $2,396.08	Professional		$1,506.10	$1,659.15	$2,396.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.98 / $1,060.25 / $1,738.03	Professional		$138.98	$1,060.25	$1,738.03
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 $1,477.45 / $1,777.34 / $2,692.13	Professional		$1,477.45	$1,777.34	$2,692.13