Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.13 / $4,933.00 / $5,757.00	Facility		$1,659.13	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,060.08 / $1,659.13 / $1,720.58	Professional		$1,060.08	$1,659.13	$1,720.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,858.89 / $3,332.14 / $4,514.52	Facility		$2,858.89	$3,332.14	$4,514.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.69 / $1,858.46 / $3,100.75	Professional		$371.69	$1,858.46	$3,100.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.53 / $1,518.42 / $2,100.11	Professional		$1,132.53	$1,518.42	$2,100.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,326.79 / $4,933.00 / $5,757.00	Facility		$1,326.79	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,326.79 / $1,475.53 / $1,812.60	Professional		$1,326.79	$1,475.53	$1,812.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $1,000.80 / $1,543.55	Professional		$69.20	$1,000.80	$1,543.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,780.00 / $10,556.00	Facility		$3,296.00	$7,780.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,378.97 / $1,689.17 / $2,362.19	Professional		$1,378.97	$1,689.17	$2,362.19