Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,891.88 / $4,933.00 / $4,933.00	Facility		$1,891.88	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,274.58 / $1,762.09 / $1,961.95	Professional		$1,274.58	$1,762.09	$1,961.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,792.54 / $7,916.95 / $10,726.20	Facility		$6,792.54	$7,916.95	$10,726.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.57 / $1,362.40 / $2,331.38	Professional		$370.57	$1,362.40	$2,331.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,266.73 / $2,153.42 / $2,390.96	Professional		$1,266.73	$2,153.42	$2,390.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,579.28 / $4,933.00 / $4,933.00	Facility		$1,579.28	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,502.41 / $1,613.95 / $2,132.02	Professional		$1,502.41	$1,613.95	$2,132.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $1,128.74 / $1,779.33	Professional		$102.24	$1,128.74	$1,779.33
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 $1,666.19 / $1,998.77 / $2,785.42	Professional		$1,666.19	$1,998.77	$2,785.42