Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,789.66 / $4,797.00 / $4,933.00	Facility		$1,789.66	$4,797.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,168.71 / $1,789.66 / $2,338.48	Professional		$1,168.71	$1,789.66	$2,338.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,228.99 / $7,260.10 / $9,836.28	Facility		$6,228.99	$7,260.10	$9,836.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.05 / $1,128.30 / $1,995.30	Professional		$323.05	$1,128.30	$1,995.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,180.22 / $1,934.80 / $2,219.16	Professional		$1,180.22	$1,934.80	$2,219.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,305.29 / $4,797.00 / $4,933.00	Facility		$1,305.29	$4,797.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,305.29 / $1,452.26 / $2,590.71	Professional		$1,305.29	$1,452.26	$2,590.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,065.73 / $1,318.03 / $1,922.53	Professional		$1,065.73	$1,318.03	$1,922.53
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 $1,571.01 / $1,849.45 / $2,579.48	Professional		$1,571.01	$1,849.45	$2,579.48