Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,573.30 / $4,933.00 / $4,933.00	Facility		$1,573.30	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,069.17 / $1,573.30 / $1,631.57	Professional		$1,069.17	$1,573.30	$1,631.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,655.57 / $6,591.76 / $8,930.79	Facility		$5,655.57	$6,591.76	$8,930.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.08 / $1,663.36 / $2,363.71	Professional		$331.08	$1,663.36	$2,363.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.20 / $1,807.22 / $1,986.49	Professional		$1,058.20	$1,807.22	$1,986.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,308.10 / $4,933.00 / $4,933.00	Facility		$1,308.10	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,308.10 / $1,343.30 / $1,922.96	Professional		$1,308.10	$1,343.30	$1,922.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $937.40 / $1,469.82	Professional		$69.20	$937.40	$1,469.82
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 $1,363.25 / $1,661.69 / $2,037.50	Professional		$1,363.25	$1,661.69	$2,037.50