Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.57 / $4,933.00 / $4,933.00	Facility		$1,894.57	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,298.92 / $1,716.95 / $1,921.39	Professional		$1,298.92	$1,716.95	$1,921.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,259.89 / $7,776.76 / $10,736.58	Facility		$5,259.89	$7,776.76	$10,736.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.52 / $1,432.00 / $2,450.46	Professional		$374.52	$1,432.00	$2,450.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,285.65 / $1,791.57 / $3,364.71	Professional		$1,285.65	$1,791.57	$3,364.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,517.02 / $4,933.00 / $4,933.00	Facility		$1,517.02	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,472.38 / $1,629.83 / $2,318.11	Professional		$1,472.38	$1,629.83	$2,318.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.42 / $1,248.75 / $1,879.28	Professional		$130.42	$1,248.75	$1,879.28
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 $1,502.34 / $1,865.37 / $2,398.63	Professional		$1,502.34	$1,865.37	$2,398.63