Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,585.19 / $4,933.00 / $4,933.00	Facility		$1,585.19	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,073.78 / $1,385.76 / $1,699.31	Professional		$1,073.78	$1,385.76	$1,699.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,053.30 / $5,992.81 / $8,273.66	Facility		$4,053.30	$5,992.81	$8,273.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.48 / $1,112.33 / $2,003.64	Professional		$318.48	$1,112.33	$2,003.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,043.60 / $1,486.55 / $2,955.47	Professional		$1,043.60	$1,486.55	$2,955.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,124.04 / $4,933.00 / $4,933.00	Facility		$1,124.04	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,124.04 / $1,315.56 / $1,927.47	Professional		$1,124.04	$1,315.56	$1,927.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.77 / $987.70 / $1,547.45	Professional		$102.77	$987.70	$1,547.45
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 $1,189.73 / $1,550.36 / $2,046.43	Professional		$1,189.73	$1,550.36	$2,046.43