Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,651.88 / $4,933.00 / $4,933.00	Facility		$1,651.88	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,191.05 / $1,492.64 / $1,651.88	Professional		$1,191.05	$1,492.64	$1,651.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,017.83 / $7,418.88 / $9,944.79	Facility		$5,017.83	$7,418.88	$9,944.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.78 / $1,631.11 / $2,150.25	Professional		$341.78	$1,631.11	$2,150.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,135.55 / $1,585.42 / $3,092.53	Professional		$1,135.55	$1,585.42	$3,092.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,421.80 / $4,933.00 / $4,933.00	Facility		$1,421.80	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,276.43 / $1,421.80 / $2,042.21	Professional		$1,276.43	$1,421.80	$2,042.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.23 / $1,100.78 / $1,643.07	Professional		$98.23	$1,100.78	$1,643.07
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 $1,307.53 / $1,739.76 / $2,282.87	Professional		$1,307.53	$1,739.76	$2,282.87