Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,638.08 / $4,933.00 / $4,933.00	Facility		$1,638.08	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,198.81 / $1,638.08 / $1,698.75	Professional		$1,198.81	$1,638.08	$1,698.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,921.25 / $6,906.94 / $9,717.54	Facility		$5,921.25	$6,906.94	$9,717.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.44 / $1,797.21 / $2,830.61	Professional		$359.44	$1,797.21	$2,830.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,087.51 / $1,769.96 / $2,221.63	Professional		$1,087.51	$1,769.96	$2,221.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,416.79 / $4,933.00 / $4,933.00	Facility		$1,416.79	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,397.79 / $1,416.79 / $1,857.83	Professional		$1,397.79	$1,416.79	$1,857.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $1,027.48 / $1,570.22	Professional		$107.55	$1,027.48	$1,570.22
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 $1,455.89 / $1,795.05 / $2,466.27	Professional		$1,455.89	$1,795.05	$2,466.27