Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,552.11 / $4,933.00 / $4,933.00	Facility		$1,552.11	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,139.96 / $1,552.11 / $1,552.11	Professional		$1,139.96	$1,552.11	$1,552.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,762.62 / $6,726.71 / $9,163.62	Facility		$5,762.62	$6,726.71	$9,163.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.96 / $1,734.79 / $3,046.74	Professional		$346.96	$1,734.79	$3,046.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.15 / $1,409.42 / $2,500.13	Professional		$1,132.15	$1,409.42	$2,500.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,237.19 / $4,933.00 / $4,933.00	Facility		$1,237.19	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,237.19 / $1,379.24 / $1,980.37	Professional		$1,237.19	$1,379.24	$1,980.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $1,050.46 / $1,586.01	Professional		$98.87	$1,050.46	$1,586.01
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 $1,287.60 / $1,599.43 / $2,080.42	Professional		$1,287.60	$1,599.43	$2,080.42