Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.04 / $4,933.00 / $5,757.00	Facility		$1,791.04	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.26 / $1,721.17 / $1,859.93	Professional		$1,188.26	$1,721.17	$1,859.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,474.40 / $7,599.04 / $10,295.49	Facility		$6,474.40	$7,599.04	$10,295.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.59 / $1,757.96 / $3,829.92	Professional		$351.59	$1,757.96	$3,829.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,029.48 / $1,627.20 / $3,052.84	Professional		$1,029.48	$1,627.20	$3,052.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,520.31 / $4,933.00 / $5,757.00	Facility		$1,520.31	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,396.26 / $1,595.73 / $2,369.58	Professional		$1,396.26	$1,595.73	$2,369.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $1,022.14 / $1,660.34	Professional		$162.16	$1,022.14	$1,660.34
United Facility/Professional Facility Modifier Low / Median / High Price $5,207.43 / $11,152.00 / $20,268.00	Facility		$5,207.43	$11,152.00	$20,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,435.97 / $1,717.08 / $2,313.82	Professional		$1,435.97	$1,717.08	$2,313.82