Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,666.42 / $4,933.00 / $4,933.00	Facility		$1,666.42	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,093.60 / $1,666.42 / $1,730.51	Professional		$1,093.60	$1,666.42	$1,730.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,993.31 / $5,828.69 / $7,940.28	Facility		$4,993.31	$5,828.69	$7,940.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.07 / $1,352.92 / $3,065.12	Professional		$344.07	$1,352.92	$3,065.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,134.91 / $1,601.25 / $2,475.28	Professional		$1,134.91	$1,601.25	$2,475.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,377.90 / $4,933.00 / $4,933.00	Facility		$1,377.90	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,377.90 / $1,479.87 / $1,998.86	Professional		$1,377.90	$1,479.87	$1,998.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.81 / $1,058.31 / $1,643.13	Professional		$161.81	$1,058.31	$1,643.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,313.17 / $1,592.30 / $2,149.44	Professional		$1,313.17	$1,592.30	$2,149.44