Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,532.03 / $4,933.00 / $4,933.00	Facility		$1,532.03	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,124.10 / $1,532.03 / $1,532.03	Professional		$1,124.10	$1,532.03	$1,532.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,724.39 / $6,671.98 / $9,039.46	Facility		$5,724.39	$6,671.98	$9,039.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.66 / $1,923.22 / $3,506.52	Professional		$341.66	$1,923.22	$3,506.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,115.83 / $1,394.08 / $2,466.07	Professional		$1,115.83	$1,394.08	$2,466.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,221.14 / $4,933.00 / $4,933.00	Facility		$1,221.14	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,221.14 / $1,359.60 / $1,921.71	Professional		$1,221.14	$1,359.60	$1,921.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $1,039.81 / $1,548.10	Professional		$98.78	$1,039.81	$1,548.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,322.88 / $1,628.46 / $2,079.61	Professional		$1,322.88	$1,628.46	$2,079.61