Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,691.89 / $4,933.00 / $4,933.00	Facility		$1,691.89	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,304.30 / $1,691.89 / $1,691.89	Professional		$1,304.30	$1,691.89	$1,691.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,271.83 / $7,321.11 / $9,973.37	Facility		$6,271.83	$7,321.11	$9,973.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.99 / $1,677.74 / $2,126.67	Professional		$375.99	$1,677.74	$2,126.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,233.02 / $1,528.73 / $2,726.56	Professional		$1,233.02	$1,528.73	$2,726.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,353.64 / $4,933.00 / $4,933.00	Facility		$1,353.64	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,353.64 / $1,503.31 / $2,173.14	Professional		$1,353.64	$1,503.31	$2,173.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $1,143.80 / $1,714.48	Professional		$98.78	$1,143.80	$1,714.48
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 $1,470.07 / $1,764.85 / $2,227.17	Professional		$1,470.07	$1,764.85	$2,227.17