Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,583.56 / $4,933.00 / $4,933.00	Facility		$1,583.56	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,116.08 / $1,583.56 / $1,583.56	Professional		$1,116.08	$1,583.56	$1,583.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,710.54 / $6,665.92 / $9,080.81	Facility		$5,710.54	$6,665.92	$9,080.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.49 / $1,152.52 / $3,076.66	Professional		$313.49	$1,152.52	$3,076.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,107.26 / $1,350.67 / $2,461.34	Professional		$1,107.26	$1,350.67	$2,461.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,283.96 / $4,933.00 / $4,933.00	Facility		$1,283.96	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,283.96 / $1,411.24 / $1,851.26	Professional		$1,283.96	$1,411.24	$1,851.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $1,082.70 / $1,636.39	Professional		$98.87	$1,082.70	$1,636.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $4,056.00 / $6,036.00	Facility		$1,713.00	$4,056.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,292.19 / $1,570.81 / $2,209.96	Professional		$1,292.19	$1,570.81	$2,209.96