Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.66 / $4,933.00 / $4,933.00	Facility		$1,513.66	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.76 / $1,513.66 / $1,513.66	Professional		$1,166.76	$1,513.66	$1,513.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,609.70 / $6,548.21 / $8,920.45	Facility		$5,609.70	$6,548.21	$8,920.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.95 / $1,690.79 / $2,402.69	Professional		$355.95	$1,690.79	$2,402.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,103.73 / $1,376.49 / $2,437.38	Professional		$1,103.73	$1,376.49	$2,437.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,210.01 / $4,933.00 / $4,933.00	Facility		$1,210.01	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,210.01 / $1,344.91 / $1,950.62	Professional		$1,210.01	$1,344.91	$1,950.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $1,010.60 / $1,529.82	Professional		$98.78	$1,010.60	$1,529.82
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 $1,305.83 / $1,568.21 / $1,991.32	Professional		$1,305.83	$1,568.21	$1,991.32