Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,545.60 / $1,974.31 / $5,757.00	Facility		$1,545.60	$1,974.31	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,168.52 / $1,545.60 / $1,880.30	Professional		$1,168.52	$1,545.60	$1,880.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.39 / $5,567.33 / $7,584.24	Facility		$4,769.39	$5,567.33	$7,584.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.58 / $1,077.74 / $1,941.33	Professional		$308.58	$1,077.74	$1,941.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,051.99 / $1,638.37 / $2,340.89	Professional		$1,051.99	$1,638.37	$2,340.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,490.87 / $4,933.00 / $5,757.00	Facility		$1,490.87	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,490.87 / $1,545.60 / $2,268.73	Professional		$1,490.87	$1,545.60	$2,268.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.32 / $1,247.59 / $1,859.14	Professional		$131.32	$1,247.59	$1,859.14
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 $1,671.31 / $1,948.20 / $2,589.56	Professional		$1,671.31	$1,948.20	$2,589.56