Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,625.30 / $4,933.00 / $4,933.00	Facility		$1,625.30	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,163.39 / $1,625.30 / $1,685.50	Professional		$1,163.39	$1,625.30	$1,685.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,850.51 / $6,818.98 / $9,238.62	Facility		$5,850.51	$6,818.98	$9,238.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.49 / $1,695.06 / $2,976.97	Professional		$318.49	$1,695.06	$2,976.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,079.11 / $1,421.75 / $2,153.14	Professional		$1,079.11	$1,421.75	$2,153.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,394.50 / $4,933.00 / $4,933.00	Facility		$1,394.50	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,387.84 / $1,394.50 / $1,896.15	Professional		$1,387.84	$1,394.50	$1,896.15
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 $1,321.24 / $1,701.27 / $2,206.35	Professional		$1,321.24	$1,701.27	$2,206.35