Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,927.71 / $4,933.00 / $4,933.00	Facility		$1,927.71	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,336.65 / $1,927.71 / $1,999.10	Professional		$1,336.65	$1,927.71	$1,999.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,903.98 / $8,046.83 / $10,902.17	Facility		$6,903.98	$8,046.83	$10,902.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.11 / $2,034.72 / $2,891.44	Professional		$364.11	$2,034.72	$2,891.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.30 / $1,840.36 / $2,483.42	Professional		$1,295.30	$1,840.36	$2,483.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,619.21 / $4,933.00 / $4,933.00	Facility		$1,619.21	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,619.21 / $1,645.53 / $2,270.17	Professional		$1,619.21	$1,645.53	$2,270.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.21 / $1,150.61 / $1,788.76	Professional		$102.21	$1,150.61	$1,788.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,599.58 / $1,998.57 / $2,536.64	Professional		$1,599.58	$1,998.57	$2,536.64