Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,461.14 / $4,933.00 / $4,933.00	Facility		$1,461.14	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.83 / $1,461.14 / $1,461.14	Professional		$1,072.83	$1,461.14	$1,461.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,393.32 / $6,295.63 / $8,576.37	Facility		$5,393.32	$6,295.63	$8,576.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.66 / $1,631.66 / $2,962.76	Professional		$303.66	$1,631.66	$2,962.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,065.54 / $1,330.71 / $2,353.09	Professional		$1,065.54	$1,330.71	$2,353.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,169.38 / $4,933.00 / $4,933.00	Facility		$1,169.38	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,169.38 / $1,298.34 / $1,884.99	Professional		$1,169.38	$1,298.34	$1,884.99
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 $1,275.14 / $1,556.03 / $2,126.83	Professional		$1,275.14	$1,556.03	$2,126.83