Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,886.62 / $4,933.00 / $4,933.00	Facility		$1,886.62	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,328.61 / $1,678.15 / $1,886.62	Professional		$1,328.61	$1,678.15	$1,886.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,452.55 / $8,061.60 / $11,129.84	Facility		$5,452.55	$8,061.60	$11,129.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.23 / $1,358.25 / $2,433.96	Professional		$384.23	$1,358.25	$2,433.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,242.13 / $1,774.17 / $3,565.42	Professional		$1,242.13	$1,774.17	$3,565.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,601.88 / $4,933.00 / $4,933.00	Facility		$1,601.88	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,464.19 / $1,650.79 / $2,325.73	Professional		$1,464.19	$1,650.79	$2,325.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $1,114.97 / $1,774.02	Professional		$132.94	$1,114.97	$1,774.02
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 $1,460.89 / $2,027.21 / $2,536.83	Professional		$1,460.89	$2,027.21	$2,536.83