Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,729.11 / $4,933.00 / $4,933.00	Facility		$1,729.11	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.97 / $1,556.78 / $1,993.66	Professional		$1,181.97	$1,556.78	$1,993.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,906.29 / $7,253.96 / $10,014.79	Facility		$4,906.29	$7,253.96	$10,014.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.08 / $1,694.56 / $2,249.36	Professional		$355.08	$1,694.56	$2,249.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,173.57 / $1,639.74 / $3,155.96	Professional		$1,173.57	$1,639.74	$3,155.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,377.80 / $4,933.00 / $4,933.00	Facility		$1,377.80	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,341.92 / $1,508.63 / $2,119.00	Professional		$1,341.92	$1,508.63	$2,119.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $1,143.15 / $1,731.14	Professional		$130.25	$1,143.15	$1,731.14
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 $1,375.21 / $1,774.42 / $2,249.67	Professional		$1,375.21	$1,774.42	$2,249.67