Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,052.34 / $4,933.00 / $4,933.00	Facility		$2,052.34	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,483.69 / $1,631.55 / $2,570.82	Professional		$1,483.69	$1,631.55	$2,570.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,836.98 / $9,198.31 / $12,462.25	Facility		$7,836.98	$9,198.31	$12,462.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.93 / $1,709.61 / $2,783.79	Professional		$390.93	$1,709.61	$2,783.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,192.23 / $1,886.22 / $3,540.67	Professional		$1,192.23	$1,886.22	$3,540.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,813.79 / $2,052.34 / $6,906.00	Facility		$1,813.79	$2,052.34	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,575.65 / $1,813.79 / $2,593.46	Professional		$1,575.65	$1,813.79	$2,593.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $1,106.87 / $1,861.95	Professional		$137.33	$1,106.87	$1,861.95
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 $1,631.66 / $2,030.69 / $2,698.46	Professional		$1,631.66	$2,030.69	$2,698.46