Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,804.33 / $4,933.00 / $4,933.00	Facility		$1,804.33	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.40 / $1,804.33 / $1,873.72	Professional		$1,181.40	$1,804.33	$1,873.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,455.68 / $7,535.73 / $10,265.73	Facility		$6,455.68	$7,535.73	$10,265.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.82 / $1,165.94 / $3,052.74	Professional		$333.82	$1,165.94	$3,052.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,226.97 / $1,729.69 / $2,677.36	Professional		$1,226.97	$1,729.69	$2,677.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,508.57 / $4,933.00 / $4,933.00	Facility		$1,508.57	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,508.57 / $1,622.92 / $2,628.54	Professional		$1,508.57	$1,622.92	$2,628.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.32 / $1,019.04 / $1,702.59	Professional		$162.32	$1,019.04	$1,702.59
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 $1,533.05 / $1,728.15 / $2,398.41	Professional		$1,533.05	$1,728.15	$2,398.41