Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.20 / $4,933.00 / $4,933.00	Facility		$1,671.20	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.67 / $1,501.23 / $1,671.20	Professional		$1,188.67	$1,501.23	$1,671.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,778.26 / $7,064.67 / $9,753.46	Facility		$4,778.26	$7,064.67	$9,753.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.31 / $1,273.21 / $2,158.01	Professional		$346.31	$1,273.21	$2,158.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.43 / $1,636.46 / $3,214.47	Professional		$1,260.43	$1,636.46	$3,214.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,412.27 / $4,933.00 / $4,933.00	Facility		$1,412.27	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,300.71 / $1,468.54 / $2,058.10	Professional		$1,300.71	$1,468.54	$2,058.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $996.47 / $1,600.05	Professional		$101.35	$996.47	$1,600.05
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,036.00	Facility		$850.00	$4,645.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,358.41 / $1,785.26 / $2,219.90	Professional		$1,358.41	$1,785.26	$2,219.90