Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,669.53 / $4,933.00 / $4,933.00	Facility		$1,669.53	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,127.39 / $1,669.53 / $1,731.37	Professional		$1,127.39	$1,669.53	$1,731.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,922.61 / $6,903.01 / $9,352.48	Facility		$5,922.61	$6,903.01	$9,352.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.09 / $1,855.48 / $2,894.55	Professional		$371.09	$1,855.48	$2,894.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,121.98 / $1,520.65 / $2,093.46	Professional		$1,121.98	$1,520.65	$2,093.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,366.50 / $4,933.00 / $4,933.00	Facility		$1,366.50	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,366.50 / $1,424.19 / $1,956.09	Professional		$1,366.50	$1,424.19	$1,956.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.93 / $1,101.23 / $1,650.88	Professional		$98.93	$1,101.23	$1,650.88
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 $1,418.66 / $1,740.62 / $2,446.98	Professional		$1,418.66	$1,740.62	$2,446.98