Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,471.60 / $4,933.00 / $4,933.00	Facility		$1,471.60	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.40 / $1,321.56 / $1,471.60	Professional		$1,010.40	$1,321.56	$1,471.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,162.30 / $6,153.97 / $8,496.16	Facility		$4,162.30	$6,153.97	$8,496.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.54 / $1,068.17 / $1,827.88	Professional		$290.54	$1,068.17	$1,827.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,084.63 / $1,437.93 / $2,729.98	Professional		$1,084.63	$1,437.93	$2,729.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,183.58 / $4,933.00 / $4,933.00	Facility		$1,183.58	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,146.34 / $1,275.23 / $1,800.30	Professional		$1,146.34	$1,275.23	$1,800.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.23 / $957.12 / $1,447.14	Professional		$98.23	$957.12	$1,447.14
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 $1,179.80 / $1,496.98 / $1,897.07	Professional		$1,179.80	$1,496.98	$1,897.07