Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,915.08 / $4,933.00 / $4,933.00	Facility		$1,915.08	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,475.16 / $1,915.08 / $1,915.08	Professional		$1,475.16	$1,915.08	$1,915.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,109.71 / $8,299.17 / $11,305.76	Facility		$7,109.71	$8,299.17	$11,305.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.26 / $1,474.52 / $2,920.96	Professional		$397.26	$1,474.52	$2,920.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,394.59 / $1,744.18 / $3,083.98	Professional		$1,394.59	$1,744.18	$3,083.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,572.11 / $4,933.00 / $4,933.00	Facility		$1,572.11	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,572.11 / $1,700.16 / $2,476.19	Professional		$1,572.11	$1,700.16	$2,476.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.18 / $1,287.93 / $1,931.64	Professional		$131.18	$1,287.93	$1,931.64
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 $1,691.83 / $2,025.76 / $2,622.13	Professional		$1,691.83	$2,025.76	$2,622.13