Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,909.92 / $4,933.00 / $4,933.00	Facility		$1,909.92	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,283.85 / $1,909.92 / $1,980.66	Professional		$1,283.85	$1,909.92	$1,980.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,833.51 / $7,964.70 / $10,790.90	Facility		$6,833.51	$7,964.70	$10,790.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.81 / $2,013.91 / $3,338.85	Professional		$374.81	$2,013.91	$3,338.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,282.84 / $1,733.64 / $2,381.62	Professional		$1,282.84	$1,733.64	$2,381.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,580.58 / $4,933.00 / $4,933.00	Facility		$1,580.58	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,580.58 / $1,628.97 / $2,201.44	Professional		$1,580.58	$1,628.97	$2,201.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $1,149.23 / $1,770.72	Professional		$102.24	$1,149.23	$1,770.72
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 $1,614.81 / $1,974.55 / $2,802.88	Professional		$1,614.81	$1,974.55	$2,802.88