Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,754.53 / $4,933.00 / $4,933.00	Facility		$1,754.53	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.14 / $1,654.22 / $1,754.53	Professional		$1,288.14	$1,654.22	$1,754.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,561.57 / $7,647.74 / $10,361.48	Facility		$6,561.57	$7,647.74	$10,361.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.39 / $1,432.88 / $2,679.48	Professional		$350.39	$1,432.88	$2,679.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,278.93 / $1,596.06 / $2,826.62	Professional		$1,278.93	$1,596.06	$2,826.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,414.78 / $4,933.00 / $4,933.00	Facility		$1,414.78	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,414.78 / $1,557.72 / $2,250.51	Professional		$1,414.78	$1,557.72	$2,250.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $1,212.51 / $1,812.23	Professional		$98.87	$1,212.51	$1,812.23
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 $1,518.93 / $1,881.36 / $2,371.42	Professional		$1,518.93	$1,881.36	$2,371.42