Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.50 / $4,933.00 / $5,757.00	Facility		$1,486.50	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,087.57 / $1,377.69 / $1,873.77	Professional		$1,087.57	$1,377.69	$1,873.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.18 / $5,349.96 / $7,288.11	Facility		$4,583.18	$5,349.96	$7,288.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.10 / $1,568.93 / $2,068.28	Professional		$316.10	$1,568.93	$2,068.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,100.00 / $1,370.79 / $2,554.17	Professional		$1,100.00	$1,370.79	$2,554.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,312.28 / $4,933.00 / $5,757.00	Facility		$1,312.28	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,290.41 / $1,377.69 / $2,193.69	Professional		$1,290.41	$1,377.69	$2,193.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.98 / $910.74 / $1,496.97	Professional		$138.98	$910.74	$1,496.97
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,373.70 / $1,651.93 / $2,060.55	Professional		$1,373.70	$1,651.93	$2,060.55