Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,763.25 / $4,933.00 / $4,933.00	Facility		$1,763.25	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,303.83 / $1,763.25 / $1,828.55	Professional		$1,303.83	$1,763.25	$1,828.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,195.59 / $8,386.71 / $11,362.67	Facility		$7,195.59	$8,386.71	$11,362.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.06 / $1,259.14 / $3,051.01	Professional		$368.06	$1,259.14	$3,051.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,171.38 / $1,789.38 / $2,418.44	Professional		$1,171.38	$1,789.38	$2,418.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,649.67 / $4,933.00 / $4,933.00	Facility		$1,649.67	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,472.05 / $1,649.67 / $2,163.21	Professional		$1,472.05	$1,649.67	$2,163.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $1,090.43 / $1,657.45	Professional		$107.55	$1,090.43	$1,657.45
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 $1,525.22 / $1,952.63 / $2,583.12	Professional		$1,525.22	$1,952.63	$2,583.12