Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,596.96 / $4,933.00 / $4,933.00	Facility		$1,596.96	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.96 / $1,485.84 / $1,656.11	Professional		$1,059.96	$1,485.84	$1,656.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,722.75 / $6,670.06 / $9,036.87	Facility		$5,722.75	$6,670.06	$9,036.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.29 / $1,114.55 / $1,907.24	Professional		$315.29	$1,114.55	$1,907.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.13 / $1,821.05 / $1,970.86	Professional		$1,075.13	$1,821.05	$1,970.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,303.38 / $4,933.00 / $4,933.00	Facility		$1,303.38	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,303.38 / $1,433.25 / $2,160.67	Professional		$1,303.38	$1,433.25	$2,160.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $962.10 / $1,501.77	Professional		$69.20	$962.10	$1,501.77
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 $1,314.55 / $1,656.35 / $2,024.17	Professional		$1,314.55	$1,656.35	$2,024.17