Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,711.86 / $4,933.00 / $4,933.00	Facility		$1,711.86	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,259.48 / $1,520.32 / $1,711.86	Professional		$1,259.48	$1,520.32	$1,711.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,936.71 / $7,298.94 / $9,784.02	Facility		$4,936.71	$7,298.94	$9,784.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.94 / $1,368.15 / $2,204.19	Professional		$347.94	$1,368.15	$2,204.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,296.45 / $1,892.15 / $3,385.06	Professional		$1,296.45	$1,892.15	$3,385.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,454.73 / $4,933.00 / $4,933.00	Facility		$1,454.73	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,327.04 / $1,454.73 / $2,054.46	Professional		$1,327.04	$1,454.73	$2,054.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $1,139.28 / $1,726.18	Professional		$130.25	$1,139.28	$1,726.18
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 $1,398.47 / $1,934.48 / $2,996.81	Professional		$1,398.47	$1,934.48	$2,996.81