Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,622.60 / $4,933.00 / $4,933.00	Facility		$1,622.60	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,197.36 / $1,622.60 / $1,622.60	Professional		$1,197.36	$1,622.60	$1,622.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,096.12 / $7,116.01 / $9,693.95	Facility		$6,096.12	$7,116.01	$9,693.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.81 / $1,969.51 / $3,249.70	Professional		$334.81	$1,969.51	$3,249.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,051.24 / $1,641.10 / $2,646.02	Professional		$1,051.24	$1,641.10	$2,646.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,339.01 / $4,933.00 / $4,933.00	Facility		$1,339.01	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,339.01 / $1,496.69 / $2,193.96	Professional		$1,339.01	$1,496.69	$2,193.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.98 / $908.62 / $1,548.19	Professional		$138.98	$908.62	$1,548.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,357.92 / $1,573.31 / $2,163.30	Professional		$1,357.92	$1,573.31	$2,163.30