Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,662.05 / $4,933.00 / $4,933.00	Facility		$1,662.05	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,136.40 / $1,397.19 / $1,662.05	Professional		$1,136.40	$1,397.19	$1,662.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,665.47 / $6,897.90 / $9,246.44	Facility		$4,665.47	$6,897.90	$9,246.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.82 / $1,343.22 / $2,066.48	Professional		$349.82	$1,343.22	$2,066.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,159.99 / $1,577.11 / $2,996.10	Professional		$1,159.99	$1,577.11	$2,996.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,333.61 / $4,933.00 / $4,933.00	Facility		$1,333.61	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,289.65 / $1,417.97 / $2,035.16	Professional		$1,289.65	$1,417.97	$2,035.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $993.92 / $1,561.07	Professional		$101.35	$993.92	$1,561.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $9,680.00 / $19,256.00	Facility		$3,500.00	$9,680.00	$19,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,316.36 / $1,686.27 / $2,171.58	Professional		$1,316.36	$1,686.27	$2,171.58