Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.70 / $4,933.00 / $4,933.00	Facility		$1,610.70	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,145.52 / $1,610.70 / $1,610.70	Professional		$1,145.52	$1,610.70	$1,610.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,446.99 / $6,358.28 / $8,661.71	Facility		$5,446.99	$6,358.28	$8,661.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.43 / $1,937.14 / $2,905.72	Professional		$387.43	$1,937.14	$2,905.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,163.32 / $1,413.71 / $2,514.89	Professional		$1,163.32	$1,413.71	$2,514.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,340.16 / $4,933.00 / $4,933.00	Facility		$1,340.16	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,310.01 / $1,380.19 / $1,932.26	Professional		$1,310.01	$1,380.19	$1,932.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $1,114.07 / $1,682.41	Professional		$98.87	$1,114.07	$1,682.41
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 $1,373.23 / $1,619.98 / $2,155.37	Professional		$1,373.23	$1,619.98	$2,155.37