Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,954.50 / $4,933.00 / $4,933.00	Facility		$1,954.50	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,388.80 / $1,954.50 / $1,954.50	Professional		$1,388.80	$1,954.50	$1,954.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,070.64 / $8,253.57 / $11,243.63	Facility		$7,070.64	$8,253.57	$11,243.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.72 / $1,501.59 / $3,811.72	Professional		$392.72	$1,501.59	$3,811.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,045.10 / $3,045.10 / $5,226.83	Professional		$3,045.10	$3,045.10	$5,226.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,473.17 / $4,933.00 / $4,933.00	Facility		$1,473.17	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,473.17 / $1,686.77 / $2,342.98	Professional		$1,473.17	$1,686.77	$2,342.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.96 / $1,225.37 / $1,906.85	Professional		$103.96	$1,225.37	$1,906.85
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 $1,573.93 / $1,893.41 / $2,495.10	Professional		$1,573.93	$1,893.41	$2,495.10