Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,823.90 / $4,933.00 / $4,933.00	Facility		$1,823.90	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.33 / $1,823.90 / $1,891.45	Professional		$1,230.33	$1,823.90	$1,891.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,048.77 / $7,050.06 / $9,551.70	Facility		$6,048.77	$7,050.06	$9,551.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.29 / $1,312.55 / $4,089.11	Professional		$343.29	$1,312.55	$4,089.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,222.05 / $1,713.89 / $2,281.30	Professional		$1,222.05	$1,713.89	$2,281.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,497.51 / $4,933.00 / $4,933.00	Facility		$1,497.51	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,497.51 / $1,554.05 / $2,019.41	Professional		$1,497.51	$1,554.05	$2,019.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $1,085.03 / $1,690.56	Professional		$102.24	$1,085.03	$1,690.56
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 $1,511.21 / $1,850.46 / $2,425.26	Professional		$1,511.21	$1,850.46	$2,425.26