Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,477.78 / $4,933.00 / $4,933.00	Facility		$1,477.78	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,005.55 / $1,420.46 / $1,859.44	Professional		$1,005.55	$1,420.46	$1,859.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,403.04 / $6,341.58 / $8,591.83	Facility		$5,403.04	$6,341.58	$8,591.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.68 / $1,120.02 / $2,169.30	Professional		$320.68	$1,120.02	$2,169.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $879.90 / $1,355.31 / $2,535.00	Professional		$879.90	$1,355.31	$2,535.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,298.49 / $1,477.78 / $4,933.00	Facility		$1,298.49	$1,477.78	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,268.22 / $1,428.33 / $2,018.61	Professional		$1,268.22	$1,428.33	$2,018.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $1,038.23 / $1,595.37	Professional		$161.71	$1,038.23	$1,595.37
United Facility/Professional Facility Modifier Low / Median / High Price $5,356.00 / $11,464.00 / $14,085.00	Facility		$5,356.00	$11,464.00	$14,085.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,158.13 / $1,408.89 / $1,893.33	Professional		$1,158.13	$1,408.89	$1,893.33