Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,515.60 / $4,933.00 / $4,933.00	Facility		$1,515.60	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,110.63 / $1,515.60 / $1,571.74	Professional		$1,110.63	$1,515.60	$1,571.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,516.48 / $6,434.80 / $9,053.28	Facility		$5,516.48	$6,434.80	$9,053.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.51 / $1,666.74 / $2,625.13	Professional		$297.51	$1,666.74	$2,625.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,007.92 / $1,598.47 / $2,061.05	Professional		$1,007.92	$1,598.47	$2,061.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,394.39 / $4,933.00 / $4,933.00	Facility		$1,394.39	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,294.48 / $1,394.39 / $1,968.36	Professional		$1,294.48	$1,394.39	$1,968.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.01 / $962.43 / $1,456.00	Professional		$87.01	$962.43	$1,456.00
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 $1,297.35 / $1,631.94 / $2,248.36	Professional		$1,297.35	$1,631.94	$2,248.36