Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,705.11 / $4,933.00 / $4,933.00	Facility		$1,705.11	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,025.69 / $1,705.11 / $1,768.26	Professional		$1,025.69	$1,705.11	$1,768.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,415.76 / $7,477.79 / $10,131.21	Facility		$6,415.76	$7,477.79	$10,131.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.87 / $1,183.02 / $2,105.39	Professional		$337.87	$1,183.02	$2,105.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,142.83 / $1,834.23 / $2,082.55	Professional		$1,142.83	$1,834.23	$2,082.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,482.34 / $4,933.00 / $4,933.00	Facility		$1,482.34	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,456.46 / $1,482.34 / $2,008.19	Professional		$1,456.46	$1,482.34	$2,008.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.93 / $1,126.14 / $1,700.67	Professional		$98.93	$1,126.14	$1,700.67
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 $1,510.67 / $1,803.60 / $2,522.52	Professional		$1,510.67	$1,803.60	$2,522.52