Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,657.79 / $4,933.00 / $4,933.00	Facility		$1,657.79	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,134.58 / $1,505.44 / $1,657.79	Professional		$1,134.58	$1,505.44	$1,657.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,011.08 / $7,006.12 / $9,492.18	Facility		$6,011.08	$7,006.12	$9,492.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,910.29 / $1,910.29 / $1,929.73	Professional		$1,910.29	$1,910.29	$1,929.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,110.80 / $1,553.54 / $2,880.71	Professional		$1,110.80	$1,553.54	$2,880.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,318.74 / $4,933.00 / $4,933.00	Facility		$1,318.74	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,278.21 / $1,318.74 / $1,791.89	Professional		$1,278.21	$1,318.74	$1,791.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.23 / $1,117.08 / $1,682.51	Professional		$98.23	$1,117.08	$1,682.51
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 $1,300.17 / $1,674.46 / $2,346.37	Professional		$1,300.17	$1,674.46	$2,346.37