Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.25 / $4,933.00 / $4,933.00	Facility		$1,861.25	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.17 / $1,790.20 / $1,930.18	Professional		$1,323.17	$1,790.20	$1,930.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,676.25 / $7,781.40 / $10,542.57	Facility		$6,676.25	$7,781.40	$10,542.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.08 / $1,967.07 / $2,795.31	Professional		$366.08	$1,967.07	$2,795.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.41 / $2,133.54 / $2,464.96	Professional		$1,249.41	$2,133.54	$2,464.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,537.80 / $4,933.00 / $4,933.00	Facility		$1,537.80	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,537.80 / $1,591.67 / $2,107.14	Professional		$1,537.80	$1,591.67	$2,107.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.27 / $1,115.69 / $1,740.11	Professional		$102.27	$1,115.69	$1,740.11
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 $1,578.32 / $1,966.88 / $2,691.85	Professional		$1,578.32	$1,966.88	$2,691.85