Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.29 / $4,933.00 / $4,933.00	Facility		$1,390.29	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.60 / $1,390.29 / $1,390.29	Professional		$1,071.60	$1,390.29	$1,390.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,271.30 / $6,153.19 / $8,382.34	Facility		$5,271.30	$6,153.19	$8,382.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.69 / $1,071.58 / $1,816.26	Professional		$288.69	$1,071.58	$1,816.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,012.80 / $1,264.89 / $2,237.50	Professional		$1,012.80	$1,264.89	$2,237.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,112.29 / $4,933.00 / $4,933.00	Facility		$1,112.29	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,112.29 / $1,233.79 / $1,795.20	Professional		$1,112.29	$1,233.79	$1,795.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $921.29 / $1,378.35	Professional		$98.87	$921.29	$1,378.35
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 $1,200.10 / $1,520.75 / $1,869.66	Professional		$1,200.10	$1,520.75	$1,869.66