Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,809.34 / $4,933.00 / $4,933.00	Facility		$1,809.34	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,158.88 / $1,700.74 / $1,878.93	Professional		$1,158.88	$1,700.74	$1,878.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,995.28 / $7,036.70 / $9,533.61	Facility		$5,995.28	$7,036.70	$9,533.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.87 / $1,521.53 / $3,492.91	Professional		$359.87	$1,521.53	$3,492.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.82 / $1,546.45 / $2,968.95	Professional		$1,052.82	$1,546.45	$2,968.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,289.39 / $1,809.34 / $4,933.00	Facility		$1,289.39	$1,809.34	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,289.39 / $1,508.58 / $2,170.91	Professional		$1,289.39	$1,508.58	$2,170.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $1,158.88 / $1,793.53	Professional		$161.71	$1,158.88	$1,793.53
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 $1,319.74 / $1,588.56 / $2,115.40	Professional		$1,319.74	$1,588.56	$2,115.40