Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,870.73 / $4,933.00 / $4,933.00	Facility		$1,870.73	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,266.58 / $1,741.29 / $1,940.02	Professional		$1,266.58	$1,741.29	$1,940.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,710.63 / $7,821.48 / $10,596.86	Facility		$6,710.63	$7,821.48	$10,596.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.29 / $1,448.80 / $2,813.47	Professional		$354.29	$1,448.80	$2,813.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,257.20 / $2,116.17 / $2,369.42	Professional		$1,257.20	$2,116.17	$2,369.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,557.02 / $4,933.00 / $4,933.00	Facility		$1,557.02	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,488.77 / $1,671.71 / $2,530.90	Professional		$1,488.77	$1,671.71	$2,530.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $1,129.03 / $1,778.80	Professional		$102.24	$1,129.03	$1,778.80
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 $1,614.54 / $1,981.08 / $2,705.23	Professional		$1,614.54	$1,981.08	$2,705.23