Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.19 / $4,933.00 / $4,933.00	Facility		$1,698.19	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,152.18 / $1,698.19 / $1,761.09	Professional		$1,152.18	$1,698.19	$1,761.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,088.07 / $7,095.86 / $9,613.76	Facility		$6,088.07	$7,095.86	$9,613.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.40 / $1,232.29 / $2,559.36	Professional		$338.40	$1,232.29	$2,559.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,142.76 / $1,958.87 / $2,143.25	Professional		$1,142.76	$1,958.87	$2,143.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,409.42 / $4,933.00 / $4,933.00	Facility		$1,409.42	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,409.42 / $1,454.89 / $2,022.90	Professional		$1,409.42	$1,454.89	$2,022.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.93 / $1,111.05 / $1,677.46	Professional		$98.93	$1,111.05	$1,677.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,869.00 / $6,327.00	Facility		$1,713.00	$3,869.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,480.03 / $1,794.56 / $2,191.73	Professional		$1,480.03	$1,794.56	$2,191.73