Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,798.81 / $4,933.00 / $5,757.00	Facility		$1,798.81	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,300.68 / $1,798.81 / $1,865.43	Professional		$1,300.68	$1,798.81	$1,865.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,645.78 / $3,070.82 / $4,160.47	Facility		$2,645.78	$3,070.82	$4,160.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.59 / $2,045.21 / $3,412.33	Professional		$388.59	$2,045.21	$3,412.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,063.09 / $1,378.69 / $2,510.90	Professional		$1,063.09	$1,378.69	$2,510.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,310.53 / $4,933.00 / $5,757.00	Facility		$1,310.53	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,310.53 / $1,518.93 / $2,217.64	Professional		$1,310.53	$1,518.93	$2,217.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.71 / $923.55 / $1,493.35	Professional		$136.71	$923.55	$1,493.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,500.00 / $10,556.00	Facility		$2,500.00	$7,500.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,301.24 / $1,614.47 / $2,107.40	Professional		$1,301.24	$1,614.47	$2,107.40