Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,441.67 / $4,933.00 / $4,933.00	Facility		$1,441.67	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,061.99 / $1,283.44 / $1,441.67	Professional		$1,061.99	$1,283.44	$1,441.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,145.80 / $6,129.58 / $8,462.49	Facility		$4,145.80	$6,129.58	$8,462.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.16 / $1,109.98 / $1,846.17	Professional		$282.16	$1,109.98	$1,846.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.73 / $1,596.38 / $2,849.70	Professional		$1,091.73	$1,596.38	$2,849.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,283.43 / $4,933.00 / $4,933.00	Facility		$1,283.43	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,117.88 / $1,283.43 / $1,732.63	Professional		$1,117.88	$1,283.43	$1,732.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.23 / $958.45 / $1,449.86	Professional		$98.23	$958.45	$1,449.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,374.44 / $3,869.00 / $5,525.00	Facility		$1,374.44	$3,869.00	$5,525.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,176.52 / $1,646.01 / $2,563.73	Professional		$1,176.52	$1,646.01	$2,563.73