Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,670.44 / $4,933.00 / $4,933.00	Facility		$2,670.44	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,960.54 / $2,670.44 / $3,217.50	Professional		$1,960.54	$2,670.44	$3,217.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.31 / $205.14 / $371.55	Facility		$174.31	$205.14	$371.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.18 / $1,542.40 / $2,462.75	Professional		$377.18	$1,542.40	$2,462.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,722.05 / $2,612.92 / $7,329.42	Professional		$1,722.05	$2,612.92	$7,329.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,061.12 / $4,933.00 / $4,933.00	Facility		$2,061.12	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,061.12 / $2,119.08 / $2,864.54	Professional		$2,061.12	$2,119.08	$2,864.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $100.00 / $1,249.86	Professional		$75.00	$100.00	$1,249.86
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 $2,082.29 / $2,680.59 / $3,860.52	Professional		$2,082.29	$2,680.59	$3,860.52