Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,736.00 / $4,933.00 / $5,757.00	Facility		$1,736.00	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,262.91 / $1,736.00 / $1,800.29	Professional		$1,262.91	$1,736.00	$1,800.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,701.20 / $4,313.87 / $5,844.61	Facility		$3,701.20	$4,313.87	$5,844.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.95 / $1,872.93 / $3,105.12	Professional		$356.95	$1,872.93	$3,105.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $941.97 / $1,268.08 / $2,483.57	Professional		$941.97	$1,268.08	$2,483.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,188.86 / $4,933.00 / $5,757.00	Facility		$1,188.86	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,188.86 / $1,390.97 / $2,011.69	Professional		$1,188.86	$1,390.97	$2,011.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.73 / $918.77 / $1,472.18	Professional		$102.73	$918.77	$1,472.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,955.80 / $6,873.00 / $9,202.00	Facility		$2,955.80	$6,873.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,198.74 / $1,468.31 / $2,002.25	Professional		$1,198.74	$1,468.31	$2,002.25