Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,485.64 / $4,933.00 / $4,933.00	Facility		$1,485.64	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,024.38 / $1,326.16 / $1,485.64	Professional		$1,024.38	$1,326.16	$1,485.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,150.88 / $6,137.08 / $8,226.59	Facility		$4,150.88	$6,137.08	$8,226.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.63 / $1,201.97 / $1,936.47	Professional		$308.63	$1,201.97	$1,936.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.03 / $1,385.90 / $2,641.95	Professional		$1,008.03	$1,385.90	$2,641.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,193.85 / $4,933.00 / $4,933.00	Facility		$1,193.85	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,154.94 / $1,291.60 / $1,819.87	Professional		$1,154.94	$1,291.60	$1,819.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.23 / $1,000.74 / $1,508.80	Professional		$98.23	$1,000.74	$1,508.80
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 $1,205.63 / $1,474.49 / $1,903.60	Professional		$1,205.63	$1,474.49	$1,903.60