Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,328.01 / $4,933.00 / $4,933.00	Facility		$2,328.01	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,634.91 / $2,301.28 / $2,417.55	Professional		$1,634.91	$2,301.28	$2,417.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,616.25 / $10,112.95 / $13,701.44	Facility		$8,616.25	$10,112.95	$13,701.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.21 / $2,605.26 / $4,730.62	Professional		$466.21	$2,605.26	$4,730.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,381.83 / $2,261.31 / $3,843.01	Professional		$1,381.83	$2,261.31	$3,843.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,936.51 / $2,328.01 / $4,933.00	Facility		$1,936.51	$2,328.01	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,813.66 / $2,072.76 / $3,019.43	Professional		$1,813.66	$2,072.76	$3,019.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.69 / $1,221.78 / $2,072.02	Professional		$207.69	$1,221.78	$2,072.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,868.37 / $2,354.40 / $3,115.23	Professional		$1,868.37	$2,354.40	$3,115.23