Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,603.53 / $4,933.00 / $4,933.00	Facility		$1,603.53	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.05 / $1,603.53 / $1,665.21	Professional		$1,059.05	$1,603.53	$1,665.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,734.96 / $6,694.42 / $9,119.65	Facility		$5,734.96	$6,694.42	$9,119.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.21 / $1,625.34 / $2,781.32	Professional		$350.21	$1,625.34	$2,781.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.97 / $1,554.02 / $2,387.83	Professional		$1,096.97	$1,554.02	$2,387.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,332.43 / $4,933.00 / $4,933.00	Facility		$1,332.43	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,332.43 / $1,446.16 / $2,298.58	Professional		$1,332.43	$1,446.16	$2,298.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.81 / $1,023.84 / $1,586.85	Professional		$161.81	$1,023.84	$1,586.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,334.63 / $1,537.44 / $2,104.94	Professional		$1,334.63	$1,537.44	$2,104.94