Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,473.72 / $4,933.00 / $5,757.00	Facility		$1,473.72	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,013.37 / $1,360.98 / $1,825.74	Professional		$1,013.37	$1,360.98	$1,825.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,426.38 / $5,159.10 / $6,989.76	Facility		$4,426.38	$5,159.10	$6,989.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.75 / $1,057.90 / $2,665.91	Professional		$287.75	$1,057.90	$2,665.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,268.08 / $1,268.08 / $1,401.73	Professional		$1,268.08	$1,268.08	$1,401.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,204.22 / $4,933.00 / $5,757.00	Facility		$1,204.22	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,067.60 / $1,252.56 / $1,844.59	Professional		$1,067.60	$1,252.56	$1,844.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.71 / $782.80 / $1,226.73	Professional		$136.71	$782.80	$1,226.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $7,500.00 / $10,556.00	Facility		$3,700.00	$7,500.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,136.33 / $1,337.51 / $1,735.67	Professional		$1,136.33	$1,337.51	$1,735.67