Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,654.53 / $4,112.00 / $4,933.00	Facility		$1,654.53	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,137.64 / $1,392.04 / $1,654.53	Professional		$1,137.64	$1,392.04	$1,654.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,681.95 / $6,922.27 / $9,279.11	Facility		$4,681.95	$6,922.27	$9,279.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.26 / $1,469.16 / $2,261.25	Professional		$359.26	$1,469.16	$2,261.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,169.83 / $1,569.20 / $3,017.35	Professional		$1,169.83	$1,569.20	$3,017.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,325.70 / $4,112.00 / $4,933.00	Facility		$1,325.70	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,287.59 / $1,410.23 / $2,025.72	Professional		$1,287.59	$1,410.23	$2,025.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $1,027.68 / $1,610.28	Professional		$68.44	$1,027.68	$1,610.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $8,514.00 / $19,256.00	Facility		$3,296.00	$8,514.00	$19,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,342.08 / $1,682.44 / $2,152.67	Professional		$1,342.08	$1,682.44	$2,152.67