Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,931.59 / $4,933.00 / $4,933.00	Facility		$1,931.59	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,310.40 / $1,931.59 / $2,003.13	Professional		$1,310.40	$1,931.59	$2,003.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,977.70 / $8,132.75 / $11,018.59	Facility		$6,977.70	$8,132.75	$11,018.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.29 / $1,340.82 / $3,579.33	Professional		$379.29	$1,340.82	$3,579.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,297.85 / $2,037.06 / $2,432.98	Professional		$1,297.85	$2,037.06	$2,432.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,600.40 / $4,933.00 / $4,933.00	Facility		$1,600.40	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,600.40 / $1,647.63 / $2,293.42	Professional		$1,600.40	$1,647.63	$2,293.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $1,170.36 / $1,797.24	Professional		$102.24	$1,170.36	$1,797.24
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 $1,645.01 / $2,027.97 / $2,782.54	Professional		$1,645.01	$2,027.97	$2,782.54