Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,622.38 / $4,933.00 / $4,933.00	Facility		$1,622.38	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.34 / $1,622.38 / $1,682.47	Professional		$1,179.34	$1,622.38	$1,682.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,009.43 / $7,004.21 / $9,489.59	Facility		$6,009.43	$7,004.21	$9,489.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.37 / $1,783.76 / $2,782.68	Professional		$315.37	$1,783.76	$2,782.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,078.56 / $1,642.01 / $2,186.29	Professional		$1,078.56	$1,642.01	$2,186.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,426.30 / $4,933.00 / $4,933.00	Facility		$1,426.30	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,386.08 / $1,426.30 / $2,084.67	Professional		$1,386.08	$1,426.30	$2,084.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $1,014.19 / $1,562.05	Professional		$107.55	$1,014.19	$1,562.05
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 $1,402.95 / $1,770.80 / $2,352.39	Professional		$1,402.95	$1,770.80	$2,352.39