Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,811.94 / $4,933.00 / $4,933.00	Facility		$1,811.94	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,482.32 / $1,811.94 / $1,879.05	Professional		$1,482.32	$1,811.94	$1,879.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,726.41 / $9,005.40 / $12,200.89	Facility		$7,726.41	$9,005.40	$12,200.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.88 / $1,308.18 / $2,691.12	Professional		$338.88	$1,308.18	$2,691.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,208.93 / $2,181.09 / $2,708.82	Professional		$1,208.93	$2,181.09	$2,708.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,736.01 / $4,933.00 / $4,933.00	Facility		$1,736.01	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,516.57 / $1,736.01 / $2,276.42	Professional		$1,516.57	$1,736.01	$2,276.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,108.74 / $1,392.04 / $2,075.20	Professional		$1,108.74	$1,392.04	$2,075.20
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 $1,632.84 / $2,214.23 / $3,140.62	Professional		$1,632.84	$2,214.23	$3,140.62