Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,847.10 / $4,933.00 / $4,933.00	Facility		$1,847.10	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,249.01 / $1,719.25 / $1,915.51	Professional		$1,249.01	$1,719.25	$1,915.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,628.74 / $7,726.02 / $10,467.53	Facility		$6,628.74	$7,726.02	$10,467.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.57 / $1,952.88 / $3,429.77	Professional		$390.57	$1,952.88	$3,429.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,240.86 / $2,023.88 / $2,340.46	Professional		$1,240.86	$2,023.88	$2,340.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,596.36 / $4,933.00 / $4,933.00	Facility		$1,596.36	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,536.05 / $1,596.36 / $2,184.37	Professional		$1,536.05	$1,596.36	$2,184.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.27 / $1,099.75 / $1,735.27	Professional		$102.27	$1,099.75	$1,735.27
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 $1,606.97 / $1,958.79 / $2,452.94	Professional		$1,606.97	$1,958.79	$2,452.94