Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,205.57 / $4,933.00 / $4,933.00	Facility		$2,205.57	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.51 / $2,205.57 / $2,290.40	Professional		$1,452.51	$2,205.57	$2,290.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,154.71 / $7,184.41 / $9,787.14	Facility		$6,154.71	$7,184.41	$9,787.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.78 / $1,613.15 / $2,968.20	Professional		$438.78	$1,613.15	$2,968.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,354.13 / $1,982.05 / $3,282.30	Professional		$1,354.13	$1,982.05	$3,282.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,232.33 / $4,933.00 / $4,933.00	Facility		$1,232.33	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,232.33 / $1,637.27 / $2,532.38	Professional		$1,232.33	$1,637.27	$2,532.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.91 / $1,249.82 / $2,068.30	Professional		$193.91	$1,249.82	$2,068.30
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 $1,471.06 / $1,921.41 / $2,880.25	Professional		$1,471.06	$1,921.41	$2,880.25