Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,461.38 / $2,877.00 / $4,933.00	Facility		$1,461.38	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,073.02 / $1,461.38 / $1,461.38	Professional		$1,073.02	$1,461.38	$1,461.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,071.96 / $4,753.21 / $6,475.17	Facility		$4,071.96	$4,753.21	$6,475.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.77 / $1,073.46 / $1,910.42	Professional		$324.77	$1,073.46	$1,910.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,065.40 / $1,330.20 / $2,353.46	Professional		$1,065.40	$1,330.20	$2,353.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,168.39 / $2,877.00 / $4,933.00	Facility		$1,168.39	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,168.39 / $1,298.25 / $1,888.75	Professional		$1,168.39	$1,298.25	$1,888.75
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 $3,054.00 / $6,873.00 / $9,202.00	Facility		$3,054.00	$6,873.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.11 / $1,503.91 / $1,939.87	Professional		$1,258.11	$1,503.91	$1,939.87