Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,646.46 / $4,933.00 / $4,933.00	Facility		$1,646.46	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,076.84 / $1,375.96 / $1,646.46	Professional		$1,076.84	$1,375.96	$1,646.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,140.74 / $6,122.10 / $8,452.15	Facility		$4,140.74	$6,122.10	$8,452.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.02 / $1,198.58 / $2,147.85	Professional		$326.02	$1,198.58	$2,147.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,113.36 / $1,532.25 / $2,910.62	Professional		$1,113.36	$1,532.25	$2,910.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,171.31 / $4,933.00 / $4,933.00	Facility		$1,171.31	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,171.31 / $1,362.08 / $1,906.91	Professional		$1,171.31	$1,362.08	$1,906.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $963.99 / $1,555.70	Professional		$101.35	$963.99	$1,555.70
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 $1,268.31 / $1,604.54 / $2,075.40	Professional		$1,268.31	$1,604.54	$2,075.40