Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,858.72 / $4,933.00 / $4,933.00	Facility		$1,858.72	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,368.69 / $1,653.20 / $1,858.72	Professional		$1,368.69	$1,653.20	$1,858.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,545.09 / $8,198.43 / $10,989.76	Facility		$5,545.09	$8,198.43	$10,989.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.60 / $1,336.77 / $2,287.52	Professional		$363.60	$1,336.77	$2,287.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,407.73 / $2,057.48 / $3,677.10	Professional		$1,407.73	$2,057.48	$3,677.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,603.44 / $4,933.00 / $4,933.00	Facility		$1,603.44	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,441.16 / $1,603.44 / $2,249.42	Professional		$1,441.16	$1,603.44	$2,249.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $1,111.98 / $1,748.28	Professional		$133.18	$1,111.98	$1,748.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,869.00 / $5,525.00	Facility		$1,713.00	$3,869.00	$5,525.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,525.86 / $2,132.23 / $2,891.33	Professional		$1,525.86	$2,132.23	$2,891.33