Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,802.22 / $4,933.00 / $4,933.00	Facility		$1,802.22	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,238.00 / $1,673.97 / $1,868.97	Professional		$1,238.00	$1,673.97	$1,868.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,486.22 / $7,559.92 / $10,242.49	Facility		$6,486.22	$7,559.92	$10,242.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.27 / $1,692.87 / $2,231.67	Professional		$401.27	$1,692.87	$2,231.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,214.34 / $1,778.51 / $2,301.62	Professional		$1,214.34	$1,778.51	$2,301.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,511.01 / $4,933.00 / $4,933.00	Facility		$1,511.01	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,511.01 / $1,541.06 / $2,004.53	Professional		$1,511.01	$1,541.06	$2,004.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.36 / $1,084.83 / $1,691.13	Professional		$102.36	$1,084.83	$1,691.13
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 $1,481.28 / $1,866.76 / $2,351.30	Professional		$1,481.28	$1,866.76	$2,351.30