Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,831.12 / $4,933.00 / $4,933.00	Facility		$1,831.12	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,256.33 / $1,647.54 / $1,831.12	Professional		$1,256.33	$1,647.54	$1,831.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,209.20 / $7,701.82 / $10,324.08	Facility		$5,209.20	$7,701.82	$10,324.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.31 / $1,394.78 / $2,337.92	Professional		$361.31	$1,394.78	$2,337.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.14 / $1,735.61 / $3,313.04	Professional		$1,243.14	$1,735.61	$3,313.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,475.33 / $4,933.00 / $4,933.00	Facility		$1,475.33	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,425.22 / $1,560.96 / $2,244.87	Professional		$1,425.22	$1,560.96	$2,244.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.42 / $1,214.70 / $1,835.83	Professional		$130.42	$1,214.70	$1,835.83
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 $1,464.11 / $1,864.91 / $2,372.62	Professional		$1,464.11	$1,864.91	$2,372.62