Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,453.77 / $4,933.00 / $4,933.00	Facility		$1,453.77	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,067.36 / $1,453.77 / $1,453.77	Professional		$1,067.36	$1,453.77	$1,453.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,357.49 / $6,253.80 / $8,519.40	Facility		$5,357.49	$6,253.80	$8,519.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.45 / $1,441.60 / $1,964.86	Professional		$290.45	$1,441.60	$1,964.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,059.86 / $1,318.77 / $2,341.01	Professional		$1,059.86	$1,318.77	$2,341.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,156.35 / $4,933.00 / $4,933.00	Facility		$1,156.35	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,156.35 / $1,291.58 / $1,873.26	Professional		$1,156.35	$1,291.58	$1,873.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $1,005.70 / $1,494.37	Professional		$98.78	$1,005.70	$1,494.37
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 $1,288.49 / $1,547.48 / $2,054.94	Professional		$1,288.49	$1,547.48	$2,054.94