Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,982.91 / $4,933.00 / $4,933.00	Facility		$1,982.91	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,320.11 / $1,659.49 / $1,982.91	Professional		$1,320.11	$1,659.49	$1,982.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,253.56 / $7,767.40 / $10,411.98	Facility		$5,253.56	$7,767.40	$10,411.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.30 / $1,874.95 / $2,566.79	Professional		$392.30	$1,874.95	$2,566.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,342.90 / $1,849.28 / $3,466.91	Professional		$1,342.90	$1,849.28	$3,466.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,488.35 / $4,933.00 / $4,933.00	Facility		$1,488.35	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,488.35 / $1,666.95 / $2,420.42	Professional		$1,488.35	$1,666.95	$2,420.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.10 / $1,195.04 / $1,873.13	Professional		$132.10	$1,195.04	$1,873.13
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 $1,533.92 / $1,937.58 / $2,502.71	Professional		$1,533.92	$1,937.58	$2,502.71