Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,846.49 / $4,933.00 / $4,933.00	Facility		$1,846.49	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,354.80 / $1,846.49 / $1,846.49	Professional		$1,354.80	$1,846.49	$1,846.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,908.88 / $8,052.54 / $10,909.91	Facility		$6,908.88	$8,052.54	$10,909.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.99 / $2,166.21 / $3,614.23	Professional		$382.99	$2,166.21	$3,614.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,344.96 / $1,678.98 / $2,973.20	Professional		$1,344.96	$1,678.98	$2,973.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,479.03 / $4,933.00 / $4,933.00	Facility		$1,479.03	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,479.03 / $1,638.76 / $2,383.82	Professional		$1,479.03	$1,638.76	$2,383.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $1,265.49 / $1,892.77	Professional		$98.87	$1,265.49	$1,892.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $4,056.00 / $6,036.00	Facility		$1,713.00	$4,056.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,612.58 / $1,969.37 / $2,536.79	Professional		$1,612.58	$1,969.37	$2,536.79