Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,852.10 / $4,933.00 / $4,933.00	Facility		$1,852.10	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,213.47 / $1,736.51 / $1,923.33	Professional		$1,213.47	$1,736.51	$1,923.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,720.89 / $7,888.35 / $10,687.46	Facility		$6,720.89	$7,888.35	$10,687.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.99 / $1,559.54 / $2,732.93	Professional		$403.99	$1,559.54	$2,732.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,078.77 / $1,608.56 / $3,031.02	Professional		$1,078.77	$1,608.56	$3,031.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,542.78 / $1,852.10 / $4,933.00	Facility		$1,542.78	$1,852.10	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,459.37 / $1,667.85 / $2,334.44	Professional		$1,459.37	$1,667.85	$2,334.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $1,056.63 / $1,753.26	Professional		$162.16	$1,056.63	$1,753.26
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,327.00	Facility		$850.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,443.94 / $1,675.70 / $2,374.66	Professional		$1,443.94	$1,675.70	$2,374.66