Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,521.97 / $4,933.00 / $4,933.00	Facility		$1,521.97	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,118.69 / $1,521.97 / $1,578.34	Professional		$1,118.69	$1,521.97	$1,578.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,570.36 / $6,492.45 / $8,796.23	Facility		$5,570.36	$6,492.45	$8,796.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.56 / $1,097.07 / $1,859.46	Professional		$295.56	$1,097.07	$1,859.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,009.99 / $1,575.50 / $2,073.75	Professional		$1,009.99	$1,575.50	$2,073.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,319.00 / $4,933.00 / $4,933.00	Facility		$1,319.00	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,300.39 / $1,319.00 / $1,961.37	Professional		$1,300.39	$1,319.00	$1,961.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $951.14 / $1,467.38	Professional		$83.29	$951.14	$1,467.38
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 $1,305.71 / $1,643.67 / $2,221.26	Professional		$1,305.71	$1,643.67	$2,221.26