Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,795.58 / $4,933.00 / $4,933.00	Facility		$1,795.58	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,278.59 / $1,604.96 / $1,795.58	Professional		$1,278.59	$1,604.96	$1,795.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,163.58 / $7,634.37 / $10,539.99	Facility		$5,163.58	$7,634.37	$10,539.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.32 / $1,623.11 / $2,310.89	Professional		$367.32	$1,623.11	$2,310.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,323.18 / $1,740.18 / $3,526.31	Professional		$1,323.18	$1,740.18	$3,526.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,531.76 / $4,933.00 / $4,933.00	Facility		$1,531.76	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,396.30 / $1,531.76 / $2,214.50	Professional		$1,396.30	$1,531.76	$2,214.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.42 / $1,180.93 / $1,787.93	Professional		$130.42	$1,180.93	$1,787.93
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 $1,462.71 / $1,858.31 / $2,466.76	Professional		$1,462.71	$1,858.31	$2,466.76