Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,742.58 / $4,933.00 / $4,933.00	Facility		$1,742.58	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,192.53 / $1,570.41 / $1,742.58	Professional		$1,192.53	$1,570.41	$1,742.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,178.98 / $7,336.78 / $10,076.90	Facility		$6,178.98	$7,336.78	$10,076.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.13 / $1,407.27 / $2,251.62	Professional		$344.13	$1,407.27	$2,251.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.66 / $1,633.77 / $3,129.77	Professional		$1,182.66	$1,633.77	$3,129.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,400.60 / $4,933.00 / $4,933.00	Facility		$1,400.60	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,356.44 / $1,498.64 / $2,135.56	Professional		$1,356.44	$1,498.64	$2,135.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.42 / $1,147.69 / $1,739.54	Professional		$130.42	$1,147.69	$1,739.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $4,056.00 / $5,525.00	Facility		$1,713.00	$4,056.00	$5,525.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,377.38 / $1,769.50 / $2,248.27	Professional		$1,377.38	$1,769.50	$2,248.27