Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,693.25 / $4,933.00 / $4,933.00	Facility		$1,693.25	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.52 / $1,522.03 / $1,693.25	Professional		$1,153.52	$1,522.03	$1,693.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,815.02 / $7,119.01 / $9,542.84	Facility		$4,815.02	$7,119.01	$9,542.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.64 / $1,300.19 / $2,182.94	Professional		$333.64	$1,300.19	$2,182.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,152.46 / $1,603.11 / $3,097.37	Professional		$1,152.46	$1,603.11	$3,097.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,366.52 / $4,933.00 / $4,933.00	Facility		$1,366.52	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,316.99 / $1,476.25 / $2,076.71	Professional		$1,316.99	$1,476.25	$2,076.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $1,143.15 / $1,731.14	Professional		$130.25	$1,143.15	$1,731.14
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 $1,376.46 / $1,725.09 / $2,251.52	Professional		$1,376.46	$1,725.09	$2,251.52