Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,751.37 / $4,933.00 / $4,933.00	Facility		$1,751.37	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,271.28 / $1,751.37 / $1,816.24	Professional		$1,271.28	$1,751.37	$1,816.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,350.21 / $7,401.39 / $10,027.70	Facility		$6,350.21	$7,401.39	$10,027.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.11 / $1,337.33 / $3,029.83	Professional		$340.11	$1,337.33	$3,029.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,162.74 / $1,793.41 / $2,355.67	Professional		$1,162.74	$1,793.41	$2,355.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,508.65 / $4,933.00 / $4,933.00	Facility		$1,508.65	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,495.47 / $1,508.65 / $2,040.42	Professional		$1,495.47	$1,508.65	$2,040.42
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 $1,514.11 / $1,842.63 / $2,805.35	Professional		$1,514.11	$1,842.63	$2,805.35