Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,589.16 / $4,933.00 / $4,933.00	Facility		$1,589.16	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,168.06 / $1,526.12 / $1,589.16	Professional		$1,168.06	$1,526.12	$1,589.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,876.51 / $6,859.66 / $9,344.74	Facility		$5,876.51	$6,859.66	$9,344.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.88 / $1,218.35 / $2,530.44	Professional		$374.88	$1,218.35	$2,530.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,160.34 / $1,440.74 / $2,560.53	Professional		$1,160.34	$1,440.74	$2,560.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,264.84 / $4,933.00 / $4,933.00	Facility		$1,264.84	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,264.84 / $1,414.56 / $2,051.00	Professional		$1,264.84	$1,414.56	$2,051.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $1,071.90 / $1,589.77	Professional		$98.87	$1,071.90	$1,589.77
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 $1,385.88 / $1,683.64 / $2,157.26	Professional		$1,385.88	$1,683.64	$2,157.26