Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,087.56 / $4,933.00 / $4,933.00	Facility		$2,087.56	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,462.48 / $2,087.56 / $2,087.56	Professional		$1,462.48	$2,087.56	$2,087.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,381.99 / $9,784.31 / $13,328.92	Facility		$8,381.99	$9,784.31	$13,328.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $506.01 / $2,663.20 / $4,194.54	Professional		$506.01	$2,663.20	$4,194.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,434.12 / $2,221.39 / $3,582.60	Professional		$1,434.12	$2,221.39	$3,582.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,895.10 / $4,933.00 / $4,933.00	Facility		$1,895.10	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,895.10 / $1,929.98 / $2,752.03	Professional		$1,895.10	$1,929.98	$2,752.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.35 / $1,218.95 / $2,062.95	Professional		$172.35	$1,218.95	$2,062.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,918.77 / $2,230.33 / $2,958.30	Professional		$1,918.77	$2,230.33	$2,958.30