Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,102.73 / $4,933.00 / $4,933.00	Facility		$2,102.73	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,482.54 / $2,085.67 / $2,183.60	Professional		$1,482.54	$2,085.67	$2,183.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,110.10 / $5,997.76 / $8,126.01	Facility		$5,110.10	$5,997.76	$8,126.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.52 / $1,532.54 / $2,819.87	Professional		$433.52	$1,532.54	$2,819.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,211.83 / $1,961.80 / $3,533.16	Professional		$1,211.83	$1,961.80	$3,533.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,639.42 / $2,102.73 / $6,906.00	Facility		$1,639.42	$2,102.73	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,623.91 / $1,836.15 / $2,639.79	Professional		$1,623.91	$1,836.15	$2,639.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.84 / $1,110.98 / $1,876.25	Professional		$171.84	$1,110.98	$1,876.25
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 $1,707.04 / $2,048.44 / $2,871.53	Professional		$1,707.04	$2,048.44	$2,871.53