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 / $1,391.86 / $1,654.53	Professional		$1,137.64	$1,391.86	$1,654.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,694.33 / $6,940.57 / $9,303.64	Facility		$4,694.33	$6,940.57	$9,303.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.97 / $1,828.54 / $3,290.91	Professional		$502.97	$1,828.54	$3,290.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,170.46 / $1,569.20 / $3,017.04	Professional		$1,170.46	$1,569.20	$3,017.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,325.05 / $4,112.00 / $4,933.00	Facility		$1,325.05	$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 $101.35 / $995.14 / $1,579.39	Professional		$101.35	$995.14	$1,579.39
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $9,680.00 / $19,256.00	Facility		$4,069.00	$9,680.00	$19,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,342.08 / $1,662.58 / $2,174.15	Professional		$1,342.08	$1,662.58	$2,174.15