Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,618.52 / $4,933.00 / $4,933.00	Facility		$1,618.52	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,109.13 / $1,461.45 / $1,699.74	Professional		$1,109.13	$1,461.45	$1,699.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,712.55 / $6,782.96 / $9,316.24	Facility		$5,712.55	$6,782.96	$9,316.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.24 / $1,245.75 / $2,091.54	Professional		$345.24	$1,245.75	$2,091.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.85 / $1,515.69 / $2,916.16	Professional		$1,096.85	$1,515.69	$2,916.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,298.64 / $4,933.00 / $4,933.00	Facility		$1,298.64	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,245.41 / $1,410.55 / $1,982.77	Professional		$1,245.41	$1,410.55	$1,982.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $979.43 / $1,529.50	Professional		$101.35	$979.43	$1,529.50
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 $1,264.36 / $1,644.06 / $2,105.29	Professional		$1,264.36	$1,644.06	$2,105.29