Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,769.29 / $4,933.00 / $4,933.00	Facility		$1,769.29	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,400.90 / $1,697.61 / $1,769.29	Professional		$1,400.90	$1,697.61	$1,769.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,574.43 / $7,674.34 / $10,454.56	Facility		$6,574.43	$7,674.34	$10,454.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.21 / $1,972.28 / $3,269.84	Professional		$415.21	$1,972.28	$3,269.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.17 / $1,608.87 / $2,847.04	Professional		$1,288.17	$1,608.87	$2,847.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,415.56 / $4,933.00 / $4,933.00	Facility		$1,415.56	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,415.56 / $1,570.17 / $2,285.06	Professional		$1,415.56	$1,570.17	$2,285.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $1,233.76 / $1,849.11	Professional		$98.87	$1,233.76	$1,849.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,849.00 / $9,202.00	Facility		$3,296.00	$7,849.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,534.23 / $1,858.53 / $2,419.73	Professional		$1,534.23	$1,858.53	$2,419.73