Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,663.00 / $4,933.00 / $4,933.00	Facility		$1,663.00	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.20 / $1,663.00 / $1,724.60	Professional		$1,203.20	$1,663.00	$1,724.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,976.68 / $6,966.03 / $9,437.87	Facility		$5,976.68	$6,966.03	$9,437.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.44 / $1,734.79 / $1,953.04	Professional		$310.44	$1,734.79	$1,953.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,104.35 / $1,751.67 / $2,229.67	Professional		$1,104.35	$1,751.67	$2,229.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,429.00 / $4,933.00 / $4,933.00	Facility		$1,429.00	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,418.98 / $1,429.00 / $2,100.29	Professional		$1,418.98	$1,429.00	$2,100.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $1,058.59 / $1,615.19	Professional		$107.55	$1,058.59	$1,615.19
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 $1,435.90 / $1,741.80 / $2,411.88	Professional		$1,435.90	$1,741.80	$2,411.88