Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,692.70 / $4,933.00 / $4,933.00	Facility		$1,692.70	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,143.82 / $1,575.36 / $1,755.39	Professional		$1,143.82	$1,575.36	$1,755.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,370.38 / $7,430.84 / $10,454.64	Facility		$6,370.38	$7,430.84	$10,454.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.76 / $1,179.28 / $2,018.02	Professional		$320.76	$1,179.28	$2,018.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,137.49 / $1,946.91 / $2,126.15	Professional		$1,137.49	$1,946.91	$2,126.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,457.71 / $4,933.00 / $4,933.00	Facility		$1,457.71	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,407.33 / $1,457.71 / $2,029.17	Professional		$1,407.33	$1,457.71	$2,029.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.93 / $1,120.84 / $1,683.15	Professional		$98.93	$1,120.84	$1,683.15
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 $1,475.82 / $1,852.61 / $2,485.33	Professional		$1,475.82	$1,852.61	$2,485.33