Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,838.94 / $4,933.00 / $4,933.00	Facility		$1,838.94	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,267.29 / $1,838.94 / $1,907.05	Professional		$1,267.29	$1,838.94	$1,907.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,602.53 / $7,695.48 / $10,426.15	Facility		$6,602.53	$7,695.48	$10,426.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.73 / $2,135.44 / $3,393.22	Professional		$345.73	$2,135.44	$3,393.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,235.40 / $1,955.87 / $2,354.44	Professional		$1,235.40	$1,955.87	$2,354.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,542.08 / $4,933.00 / $4,933.00	Facility		$1,542.08	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,542.08 / $1,727.12 / $2,470.71	Professional		$1,542.08	$1,727.12	$2,470.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.27 / $1,112.18 / $1,715.75	Professional		$102.27	$1,112.18	$1,715.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,869.00 / $6,327.00	Facility		$1,713.00	$3,869.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,594.67 / $1,943.46 / $2,703.39	Professional		$1,594.67	$1,943.46	$2,703.39