Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,718.87 / $4,933.00 / $4,933.00	Facility		$1,718.87	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,218.47 / $1,537.76 / $1,718.87	Professional		$1,218.47	$1,537.76	$1,718.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,920.22 / $7,274.57 / $10,043.26	Facility		$4,920.22	$7,274.57	$10,043.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.78 / $1,404.68 / $2,287.27	Professional		$361.78	$1,404.68	$2,287.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.07 / $1,663.53 / $3,391.37	Professional		$1,249.07	$1,663.53	$3,391.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,460.23 / $4,933.00 / $4,933.00	Facility		$1,460.23	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,336.18 / $1,463.44 / $2,117.67	Professional		$1,336.18	$1,463.44	$2,117.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.42 / $1,146.52 / $1,730.69	Professional		$130.42	$1,146.52	$1,730.69
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 $1,395.36 / $1,781.98 / $2,313.23	Professional		$1,395.36	$1,781.98	$2,313.23