Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,740.36 / $4,933.00 / $4,933.00	Facility		$1,740.36	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,236.98 / $1,740.36 / $1,804.81	Professional		$1,236.98	$1,740.36	$1,804.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,399.35 / $7,458.67 / $10,105.31	Facility		$6,399.35	$7,458.67	$10,105.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.08 / $2,045.18 / $3,190.48	Professional		$325.08	$2,045.18	$3,190.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,160.36 / $1,725.51 / $2,292.94	Professional		$1,160.36	$1,725.51	$2,292.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,495.29 / $4,933.00 / $4,933.00	Facility		$1,495.29	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,483.04 / $1,495.29 / $2,177.92	Professional		$1,483.04	$1,495.29	$2,177.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $1,089.70 / $1,658.72	Professional		$107.55	$1,089.70	$1,658.72
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 $1,374.14 / $1,852.13 / $2,356.55	Professional		$1,374.14	$1,852.13	$2,356.55