Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,838.79 / $4,933.00 / $4,933.00	Facility		$1,838.79	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,261.10 / $1,548.80 / $1,906.89	Professional		$1,261.10	$1,548.80	$1,906.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,595.95 / $7,687.82 / $10,415.77	Facility		$6,595.95	$7,687.82	$10,415.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.86 / $1,343.15 / $2,276.55	Professional		$361.86	$1,343.15	$2,276.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,245.07 / $1,850.93 / $2,343.53	Professional		$1,245.07	$1,850.93	$2,343.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,530.35 / $4,933.00 / $4,933.00	Facility		$1,530.35	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,376.72 / $1,573.40 / $2,065.96	Professional		$1,376.72	$1,573.40	$2,065.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $1,111.55 / $1,714.58	Professional		$102.24	$1,111.55	$1,714.58
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 $1,523.72 / $1,920.41 / $2,650.05	Professional		$1,523.72	$1,920.41	$2,650.05