Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,604.98 / $4,933.00 / $4,933.00	Facility		$1,604.98	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,169.92 / $1,604.98 / $1,664.43	Professional		$1,169.92	$1,604.98	$1,664.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,594.34 / $7,685.93 / $10,413.21	Facility		$6,594.34	$7,685.93	$10,413.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.69 / $1,850.99 / $2,941.22	Professional		$299.69	$1,850.99	$2,941.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.31 / $1,737.79 / $2,167.62	Professional		$1,066.31	$1,737.79	$2,167.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,388.08 / $4,933.00 / $4,933.00	Facility		$1,388.08	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,371.03 / $1,388.08 / $1,820.18	Professional		$1,371.03	$1,388.08	$1,820.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $1,003.55 / $1,545.08	Professional		$107.55	$1,003.55	$1,545.08
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 $1,428.16 / $1,752.79 / $2,327.48	Professional		$1,428.16	$1,752.79	$2,327.48