Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,768.96 / $4,933.00 / $4,933.00	Facility		$1,768.96	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,319.09 / $1,768.96 / $1,834.48	Professional		$1,319.09	$1,768.96	$1,834.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,420.66 / $7,483.50 / $10,138.95	Facility		$6,420.66	$7,483.50	$10,138.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.76 / $1,946.11 / $3,246.98	Professional		$369.76	$1,946.11	$3,246.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,175.86 / $1,563.03 / $2,447.96	Professional		$1,175.86	$1,563.03	$2,447.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,548.71 / $4,933.00 / $4,933.00	Facility		$1,548.71	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,512.21 / $1,548.71 / $2,164.83	Professional		$1,512.21	$1,548.71	$2,164.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.39 / $1,107.91 / $1,695.23	Professional		$107.39	$1,107.91	$1,695.23
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 $1,465.44 / $1,896.67 / $2,565.10	Professional		$1,465.44	$1,896.67	$2,565.10