Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,608.54 / $4,933.00 / $4,933.00	Facility		$1,608.54	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,132.07 / $1,608.54 / $1,608.54	Professional		$1,132.07	$1,608.54	$1,608.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,730.09 / $6,688.74 / $9,111.91	Facility		$5,730.09	$6,688.74	$9,111.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.19 / $1,772.63 / $3,078.79	Professional		$373.19	$1,772.63	$3,078.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $997.84 / $1,556.42 / $2,507.48	Professional		$997.84	$1,556.42	$2,507.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,259.26 / $4,933.00 / $4,933.00	Facility		$1,259.26	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,259.26 / $1,410.37 / $1,881.91	Professional		$1,259.26	$1,410.37	$1,881.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $1,092.07 / $1,640.74	Professional		$98.87	$1,092.07	$1,640.74
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 $1,312.52 / $1,535.79 / $2,033.92	Professional		$1,312.52	$1,535.79	$2,033.92