Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,908.82 / $4,933.00 / $4,933.00	Facility		$1,908.82	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.98 / $1,721.86 / $1,908.82	Professional		$1,312.98	$1,721.86	$1,908.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,327.06 / $7,876.07 / $10,873.69	Facility		$5,327.06	$7,876.07	$10,873.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.55 / $1,453.61 / $2,463.76	Professional		$376.55	$1,453.61	$2,463.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,297.02 / $1,807.66 / $3,460.16	Professional		$1,297.02	$1,807.66	$3,460.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,537.26 / $4,933.00 / $4,933.00	Facility		$1,537.26	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,483.78 / $1,655.94 / $2,337.92	Professional		$1,483.78	$1,655.94	$2,337.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.42 / $1,275.51 / $1,930.15	Professional		$130.42	$1,275.51	$1,930.15
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 $1,547.67 / $1,944.38 / $2,488.73	Professional		$1,547.67	$1,944.38	$2,488.73