Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,093.25 / $2,093.25 / $6,906.00	Facility		$2,093.25	$2,093.25	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,467.85 / $2,093.25 / $2,093.25	Professional		$1,467.85	$2,093.25	$2,093.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,189.15 / $3,717.07 / $5,036.04	Facility		$3,189.15	$3,717.07	$5,036.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.66 / $2,863.26 / $4,216.51	Professional		$508.66	$2,863.26	$4,216.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,460.82 / $1,782.83 / $6,945.11	Professional		$1,460.82	$1,782.83	$6,945.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,657.93 / $2,093.25 / $6,906.00	Facility		$1,657.93	$2,093.25	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,657.93 / $1,928.26 / $2,577.90	Professional		$1,657.93	$1,928.26	$2,577.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.35 / $1,212.28 / $2,004.29	Professional		$171.35	$1,212.28	$2,004.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,780.00 / $10,556.00	Facility		$3,296.00	$7,780.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,644.29 / $1,895.67 / $2,622.88	Professional		$1,644.29	$1,895.67	$2,622.88