Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,800.92 / $4,933.00 / $4,933.00	Facility		$1,800.92	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,285.49 / $1,800.92 / $1,800.92	Professional		$1,285.49	$1,800.92	$1,800.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,496.34 / $7,583.18 / $10,330.37	Facility		$6,496.34	$7,583.18	$10,330.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.81 / $1,373.55 / $2,616.28	Professional		$355.81	$1,373.55	$2,616.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,129.88 / $1,742.38 / $2,839.25	Professional		$1,129.88	$1,742.38	$2,839.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,461.62 / $4,933.00 / $4,933.00	Facility		$1,461.62	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,454.18 / $1,577.28 / $2,133.32	Professional		$1,454.18	$1,577.28	$2,133.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $1,216.32 / $1,822.38	Professional		$98.87	$1,216.32	$1,822.38
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 $1,520.31 / $1,673.52 / $2,301.09	Professional		$1,520.31	$1,673.52	$2,301.09