Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,850.45 / $4,933.00 / $4,933.00	Facility		$1,850.45	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.13 / $1,653.11 / $1,850.45	Professional		$1,312.13	$1,653.11	$1,850.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,358.77 / $7,922.95 / $10,938.41	Facility		$5,358.77	$7,922.95	$10,938.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $406.37 / $1,336.77 / $2,566.60	Professional		$406.37	$1,336.77	$2,566.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,290.45 / $1,791.54 / $3,637.10	Professional		$1,290.45	$1,791.54	$3,637.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,547.28 / $4,933.00 / $4,933.00	Facility		$1,547.28	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,437.80 / $1,574.74 / $2,279.58	Professional		$1,437.80	$1,574.74	$2,279.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $1,114.49 / $1,778.80	Professional		$133.18	$1,114.49	$1,778.80
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 $1,458.74 / $1,951.39 / $2,654.28	Professional		$1,458.74	$1,951.39	$2,654.28