Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,720.55 / $4,933.00 / $4,933.00	Facility		$1,720.55	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,182.26 / $1,433.99 / $1,720.55	Professional		$1,182.26	$1,433.99	$1,720.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,865.74 / $7,194.01 / $9,643.36	Facility		$4,865.74	$7,194.01	$9,643.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.90 / $1,389.95 / $2,159.34	Professional		$339.90	$1,389.95	$2,159.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,168.52 / $1,630.77 / $3,162.18	Professional		$1,168.52	$1,630.77	$3,162.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,383.08 / $4,933.00 / $4,933.00	Facility		$1,383.08	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,300.49 / $1,465.50 / $2,109.98	Professional		$1,300.49	$1,465.50	$2,109.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $1,025.80 / $1,652.94	Professional		$101.35	$1,025.80	$1,652.94
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 $1,332.32 / $1,740.63 / $2,243.90	Professional		$1,332.32	$1,740.63	$2,243.90