Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,697.80 / $4,933.00 / $4,933.00	Facility		$1,697.80	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,163.82 / $1,426.79 / $1,697.80	Professional		$1,163.82	$1,426.79	$1,697.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,746.60 / $7,017.86 / $9,407.24	Facility		$4,746.60	$7,017.86	$9,407.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.41 / $1,371.60 / $2,130.84	Professional		$335.41	$1,371.60	$2,130.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,151.55 / $1,610.75 / $3,071.59	Professional		$1,151.55	$1,610.75	$3,071.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,361.18 / $4,933.00 / $4,933.00	Facility		$1,361.18	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,317.63 / $1,448.63 / $2,079.98	Professional		$1,317.63	$1,448.63	$2,079.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $1,143.15 / $1,731.14	Professional		$130.25	$1,143.15	$1,731.14
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 $1,376.29 / $1,724.64 / $2,207.54	Professional		$1,376.29	$1,724.64	$2,207.54