Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,808.65 / $4,933.00 / $4,933.00	Facility		$1,808.65	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,259.05 / $1,627.20 / $1,808.65	Professional		$1,259.05	$1,627.20	$1,808.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,093.87 / $7,531.30 / $10,397.69	Facility		$5,093.87	$7,531.30	$10,397.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.19 / $1,509.01 / $2,414.41	Professional		$371.19	$1,509.01	$2,414.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,227.80 / $1,731.63 / $3,322.31	Professional		$1,227.80	$1,731.63	$3,322.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,458.43 / $4,933.00 / $4,933.00	Facility		$1,458.43	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,407.99 / $1,542.09 / $2,217.62	Professional		$1,407.99	$1,542.09	$2,217.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.42 / $1,199.53 / $1,811.55	Professional		$130.42	$1,199.53	$1,811.55
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 $1,397.12 / $1,838.31 / $2,363.50	Professional		$1,397.12	$1,838.31	$2,363.50