Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,886.32 / $4,933.00 / $4,933.00	Facility		$1,886.32	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,305.14 / $1,886.32 / $1,956.18	Professional		$1,305.14	$1,886.32	$1,956.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,792.54 / $7,916.95 / $10,726.20	Facility		$6,792.54	$7,916.95	$10,726.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.49 / $1,990.73 / $2,330.83	Professional		$370.49	$1,990.73	$2,330.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,267.51 / $1,867.98 / $2,424.89	Professional		$1,267.51	$1,867.98	$2,424.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,577.64 / $4,933.00 / $4,933.00	Facility		$1,577.64	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,577.64 / $1,609.61 / $2,167.16	Professional		$1,577.64	$1,609.61	$2,167.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $1,125.01 / $1,752.16	Professional		$102.24	$1,125.01	$1,752.16
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 $1,561.81 / $1,950.77 / $2,696.85	Professional		$1,561.81	$1,950.77	$2,696.85