Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,616.85 / $1,630.44 / $1,630.44	Facility		$1,616.85	$1,630.44	$1,630.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,054.80 / $1,616.85 / $1,630.44	Professional		$1,054.80	$1,616.85	$1,630.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,106.09 / $7,116.86 / $9,642.21	Facility		$6,106.09	$7,116.86	$9,642.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.63 / $1,150.76 / $2,079.35	Professional		$367.63	$1,150.76	$2,079.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,166.00 / $1,358.60 / $2,671.22	Professional		$1,166.00	$1,358.60	$2,671.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,630.44 / $1,872.77 / $1,872.77	Facility		$1,630.44	$1,872.77	$1,872.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,509.95 / $1,872.77 / $2,152.17	Professional		$1,509.95	$1,872.77	$2,152.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,115.06 / $1,424.13 / $2,080.44	Professional		$1,115.06	$1,424.13	$2,080.44
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 $1,260.41 / $1,571.32 / $2,155.48	Professional		$1,260.41	$1,571.32	$2,155.48