Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,697.33 / $4,933.00 / $4,933.00	Facility		$1,697.33	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,256.40 / $1,586.80 / $1,760.20	Professional		$1,256.40	$1,586.80	$1,760.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,127.41 / $7,141.71 / $9,675.89	Facility		$6,127.41	$7,141.71	$9,675.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.46 / $1,863.45 / $2,795.17	Professional		$329.46	$1,863.45	$2,795.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,126.36 / $1,530.54 / $2,329.60	Professional		$1,126.36	$1,530.54	$2,329.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,515.46 / $4,933.00 / $4,933.00	Facility		$1,515.46	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,449.80 / $1,515.46 / $2,123.84	Professional		$1,449.80	$1,515.46	$2,123.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $1,058.89 / $1,615.19	Professional		$107.55	$1,058.89	$1,615.19
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 $1,456.70 / $1,808.90 / $2,461.64	Professional		$1,456.70	$1,808.90	$2,461.64