Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,162.73 / $4,933.00 / $4,933.00	Facility		$2,162.73	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,421.81 / $1,718.54 / $2,245.91	Professional		$1,421.81	$1,718.54	$2,245.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,895.53 / $9,267.03 / $12,555.35	Facility		$7,895.53	$9,267.03	$12,555.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.68 / $1,769.38 / $2,748.79	Professional		$432.68	$1,769.38	$2,748.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,256.60 / $1,930.04 / $3,728.56	Professional		$1,256.60	$1,930.04	$3,728.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,636.81 / $2,162.73 / $6,906.00	Facility		$1,636.81	$2,162.73	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,636.81 / $1,800.49 / $2,736.86	Professional		$1,636.81	$1,800.49	$2,736.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.84 / $1,141.25 / $1,922.67	Professional		$171.84	$1,141.25	$1,922.67
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 $1,647.24 / $1,962.27 / $2,785.45	Professional		$1,647.24	$1,962.27	$2,785.45