Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,657.26 / $4,933.00 / $4,933.00	Facility		$1,657.26	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,276.97 / $1,657.26 / $1,657.26	Professional		$1,276.97	$1,657.26	$1,657.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,161.21 / $7,191.99 / $9,797.46	Facility		$6,161.21	$7,191.99	$9,797.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.99 / $1,216.00 / $2,237.44	Professional		$343.99	$1,216.00	$2,237.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.34 / $1,515.55 / $2,669.94	Professional		$1,207.34	$1,515.55	$2,669.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,338.50 / $4,933.00 / $4,933.00	Facility		$1,338.50	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,338.50 / $1,471.70 / $2,145.05	Professional		$1,338.50	$1,471.70	$2,145.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $1,111.19 / $1,674.65	Professional		$98.87	$1,111.19	$1,674.65
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 $1,496.43 / $1,733.25 / $2,188.66	Professional		$1,496.43	$1,733.25	$2,188.66