Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,667.73 / $4,933.00 / $4,933.00	Facility		$1,667.73	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,094.36 / $1,667.73 / $1,731.88	Professional		$1,094.36	$1,667.73	$1,731.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,006.66 / $7,011.59 / $9,551.70	Facility		$6,006.66	$7,011.59	$9,551.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.32 / $1,135.38 / $2,992.82	Professional		$363.32	$1,135.38	$2,992.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,135.72 / $1,602.38 / $2,476.71	Professional		$1,135.72	$1,602.38	$2,476.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,387.38 / $4,933.00 / $4,933.00	Facility		$1,387.38	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,387.38 / $1,500.60 / $2,524.50	Professional		$1,387.38	$1,500.60	$2,524.50
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 $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 $1,389.19 / $1,606.24 / $2,121.44	Professional		$1,389.19	$1,606.24	$2,121.44