Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,921.35 / $4,933.00 / $4,933.00	Facility		$1,921.35	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,196.65 / $1,779.16 / $1,992.51	Professional		$1,196.65	$1,779.16	$1,992.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,946.57 / $8,096.48 / $10,969.44	Facility		$6,946.57	$8,096.48	$10,969.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.26 / $1,387.01 / $2,282.19	Professional		$377.26	$1,387.01	$2,282.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,290.68 / $1,703.46 / $2,361.42	Professional		$1,290.68	$1,703.46	$2,361.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,524.69 / $4,933.00 / $4,933.00	Facility		$1,524.69	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,524.69 / $1,639.30 / $2,128.71	Professional		$1,524.69	$1,639.30	$2,128.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $1,149.23 / $1,770.72	Professional		$102.24	$1,149.23	$1,770.72
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 $1,590.41 / $1,969.08 / $2,674.10	Professional		$1,590.41	$1,969.08	$2,674.10