Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,976.05 / $4,933.00 / $4,933.00	Facility		$1,976.05	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,355.90 / $1,775.27 / $1,976.05	Professional		$1,355.90	$1,775.27	$1,976.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,527.33 / $8,172.18 / $10,954.57	Facility		$5,527.33	$8,172.18	$10,954.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.42 / $1,288.53 / $2,449.96	Professional		$389.42	$1,288.53	$2,449.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,341.93 / $1,871.43 / $3,617.51	Professional		$1,341.93	$1,871.43	$3,617.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,592.19 / $4,933.00 / $4,933.00	Facility		$1,592.19	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,534.21 / $1,683.73 / $2,420.90	Professional		$1,534.21	$1,683.73	$2,420.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $1,175.40 / $1,888.63	Professional		$133.18	$1,175.40	$1,888.63
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 $1,567.50 / $2,007.42 / $2,570.16	Professional		$1,567.50	$2,007.42	$2,570.16