Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,404.16 / $4,112.00 / $4,933.00	Facility		$1,404.16	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,026.47 / $1,404.16 / $3,020.66	Professional		$1,026.47	$1,404.16	$3,020.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,508.13 / $2,927.74 / $3,988.39	Facility		$2,508.13	$2,927.74	$3,988.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.97 / $1,320.64 / $1,883.27	Professional		$332.97	$1,320.64	$1,883.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.26 / $1,281.83 / $2,419.03	Professional		$1,047.26	$1,281.83	$2,419.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,183.94 / $4,112.00 / $4,933.00	Facility		$1,183.94	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,183.94 / $1,334.17 / $2,070.75	Professional		$1,183.94	$1,334.17	$2,070.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.47 / $861.20 / $1,413.02	Professional		$103.47	$861.20	$1,413.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,574.00 / $8,339.00	Facility		$2,524.00	$5,574.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,263.35 / $1,530.46 / $2,047.96	Professional		$1,263.35	$1,530.46	$2,047.96