Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,947.27 / $4,933.00 / $4,933.00	Facility		$1,947.27	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.63 / $1,947.27 / $2,022.16	Professional		$1,085.63	$1,947.27	$2,022.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,459.97 / $6,373.43 / $8,682.37	Facility		$5,459.97	$6,373.43	$8,682.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.36 / $2,161.98 / $2,958.50	Professional		$402.36	$2,161.98	$2,958.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,264.70 / $1,832.97 / $2,895.29	Professional		$1,264.70	$1,832.97	$2,895.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,273.21 / $4,933.00 / $4,933.00	Facility		$1,273.21	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,273.21 / $1,460.01 / $2,233.21	Professional		$1,273.21	$1,460.01	$2,233.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.32 / $1,113.10 / $1,832.20	Professional		$162.32	$1,113.10	$1,832.20
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 $1,348.46 / $1,569.56 / $2,345.03	Professional		$1,348.46	$1,569.56	$2,345.03