Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,557.76 / $4,933.00 / $4,933.00	Facility		$1,557.76	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.78 / $1,557.76 / $1,615.46	Professional		$1,148.78	$1,557.76	$1,615.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,812.83 / $6,775.06 / $9,179.12	Facility		$5,812.83	$6,775.06	$9,179.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.12 / $1,710.56 / $2,565.85	Professional		$342.12	$1,710.56	$2,565.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,034.48 / $1,689.76 / $2,130.13	Professional		$1,034.48	$1,689.76	$2,130.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,347.04 / $4,933.00 / $4,933.00	Facility		$1,347.04	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,330.13 / $1,347.04 / $1,789.07	Professional		$1,330.13	$1,347.04	$1,789.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $982.92 / $1,513.69	Professional		$83.29	$982.92	$1,513.69
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 $1,388.02 / $1,699.54 / $2,183.78	Professional		$1,388.02	$1,699.54	$2,183.78