Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.97 / $4,933.00 / $4,933.00	Facility		$1,961.97	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,272.02 / $1,961.97 / $2,034.63	Professional		$1,272.02	$1,961.97	$2,034.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,259.47 / $8,461.17 / $11,463.53	Facility		$7,259.47	$8,461.17	$11,463.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.54 / $2,261.98 / $3,594.29	Professional		$384.54	$2,261.98	$3,594.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,303.48 / $2,177.62 / $2,347.78	Professional		$1,303.48	$2,177.62	$2,347.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,462.50 / $4,933.00 / $4,933.00	Facility		$1,462.50	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,462.50 / $1,675.05 / $2,099.50	Professional		$1,462.50	$1,675.05	$2,099.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.23 / $1,147.39 / $1,801.29	Professional		$104.23	$1,147.39	$1,801.29
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 $1,594.71 / $2,012.29 / $2,845.02	Professional		$1,594.71	$2,012.29	$2,845.02