Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,641.32 / $4,933.00 / $4,933.00	Facility		$1,641.32	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,144.72 / $1,483.83 / $1,641.32	Professional		$1,144.72	$1,483.83	$1,641.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,617.31 / $6,826.70 / $9,424.94	Facility		$4,617.31	$6,826.70	$9,424.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.16 / $1,334.74 / $2,120.90	Professional		$324.16	$1,334.74	$2,120.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,114.56 / $1,564.68 / $3,010.23	Professional		$1,114.56	$1,564.68	$3,010.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,325.91 / $4,933.00 / $4,933.00	Facility		$1,325.91	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,275.86 / $1,425.01 / $2,010.30	Professional		$1,275.86	$1,425.01	$2,010.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $984.43 / $1,567.67	Professional		$101.35	$984.43	$1,567.67
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 $1,302.23 / $1,649.17 / $2,159.06	Professional		$1,302.23	$1,649.17	$2,159.06