Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,856.48 / $4,933.00 / $4,933.00	Facility		$1,856.48	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,362.08 / $1,856.48 / $1,856.48	Professional		$1,362.08	$1,856.48	$1,856.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,946.57 / $8,096.48 / $10,969.44	Facility		$6,946.57	$8,096.48	$10,969.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.04 / $1,428.44 / $3,428.26	Professional		$370.04	$1,428.44	$3,428.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,351.23 / $1,690.31 / $2,990.39	Professional		$1,351.23	$1,690.31	$2,990.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,486.82 / $4,933.00 / $4,933.00	Facility		$1,486.82	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,486.82 / $1,645.51 / $2,393.44	Professional		$1,486.82	$1,645.51	$2,393.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $1,272.09 / $1,900.76	Professional		$98.87	$1,272.09	$1,900.76
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 $1,548.30 / $1,958.09 / $2,545.88	Professional		$1,548.30	$1,958.09	$2,545.88