Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,771.51 / $4,933.00 / $4,933.00	Facility		$1,771.51	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,292.75 / $1,771.51 / $1,837.12	Professional		$1,292.75	$1,771.51	$1,837.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,363.34 / $7,416.70 / $10,048.45	Facility		$6,363.34	$7,416.70	$10,048.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.38 / $1,640.34 / $2,162.44	Professional		$369.38	$1,640.34	$2,162.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,175.64 / $1,842.46 / $2,396.85	Professional		$1,175.64	$1,842.46	$2,396.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,491.63 / $4,933.00 / $4,933.00	Facility		$1,491.63	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,491.63 / $1,511.79 / $2,271.46	Professional		$1,491.63	$1,511.79	$2,271.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $1,090.43 / $1,657.45	Professional		$107.55	$1,090.43	$1,657.45
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 $1,518.40 / $1,948.57 / $2,473.19	Professional		$1,518.40	$1,948.57	$2,473.19