Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,502.57 / $4,933.00 / $5,757.00	Facility		$1,502.57	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.82 / $1,502.57 / $1,903.89	Professional		$1,148.82	$1,502.57	$1,903.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,802.84 / $5,597.88 / $7,584.24	Facility		$4,802.84	$5,597.88	$7,584.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.64 / $1,691.28 / $2,403.39	Professional		$302.64	$1,691.28	$2,403.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,069.60 / $1,491.94 / $2,354.26	Professional		$1,069.60	$1,491.94	$2,354.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,413.68 / $4,933.00 / $5,757.00	Facility		$1,413.68	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,413.68 / $1,502.57 / $2,311.78	Professional		$1,413.68	$1,502.57	$2,311.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.51 / $1,179.92 / $1,863.84	Professional		$133.51	$1,179.92	$1,863.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,557.44 / $1,870.27 / $2,414.27	Professional		$1,557.44	$1,870.27	$2,414.27