Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,629.68 / $4,933.00 / $4,933.00	Facility		$1,629.68	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,128.52 / $1,436.59 / $1,703.95	Professional		$1,128.52	$1,436.59	$1,703.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,173.41 / $9,704.93 / $13,329.50	Facility		$8,173.41	$9,704.93	$13,329.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.95 / $1,597.91 / $2,106.50	Professional		$321.95	$1,597.91	$2,106.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,113.80 / $1,551.80 / $2,989.28	Professional		$1,113.80	$1,551.80	$2,989.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,315.23 / $4,933.00 / $4,933.00	Facility		$1,315.23	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,269.06 / $1,394.82 / $2,065.25	Professional		$1,269.06	$1,394.82	$2,065.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $993.92 / $1,561.07	Professional		$101.35	$993.92	$1,561.07
United Facility/Professional Facility Modifier Low / Median / High Price $5,356.00 / $11,464.00 / $13,668.00	Facility		$5,356.00	$11,464.00	$13,668.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,290.03 / $1,642.74 / $2,117.46	Professional		$1,290.03	$1,642.74	$2,117.46