Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,966.71 / $4,933.00 / $4,933.00	Facility		$1,966.71	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,328.43 / $1,537.04 / $2,488.44	Professional		$1,328.43	$1,537.04	$2,488.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,522.97 / $8,829.75 / $11,962.91	Facility		$7,522.97	$8,829.75	$11,962.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.99 / $1,448.50 / $2,577.87	Professional		$393.99	$1,448.50	$2,577.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,142.74 / $1,778.84 / $3,392.04	Professional		$1,142.74	$1,778.84	$3,392.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,520.48 / $1,966.71 / $6,906.00	Facility		$1,520.48	$1,966.71	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,441.58 / $1,729.89 / $2,643.55	Professional		$1,441.58	$1,729.89	$2,643.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $1,070.13 / $1,756.80	Professional		$137.33	$1,070.13	$1,756.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,702.00 / $10,652.00	Facility		$3,500.00	$8,702.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,556.65 / $1,888.87 / $2,512.26	Professional		$1,556.65	$1,888.87	$2,512.26