Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,316.17 / $4,933.00 / $4,933.00	Facility		$2,316.17	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,631.75 / $2,290.46 / $2,405.26	Professional		$1,631.75	$2,290.46	$2,405.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,455.75 / $11,098.27 / $15,036.39	Facility		$9,455.75	$11,098.27	$15,036.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.11 / $1,754.06 / $3,103.34	Professional		$477.11	$1,754.06	$3,103.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,363.37 / $2,186.67 / $3,885.52	Professional		$1,363.37	$2,186.67	$3,885.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,949.26 / $2,316.17 / $6,906.00	Facility		$1,949.26	$2,316.17	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,786.60 / $2,030.82 / $2,988.58	Professional		$1,786.60	$2,030.82	$2,988.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.84 / $1,214.96 / $2,045.18	Professional		$171.84	$1,214.96	$2,045.18
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 $1,930.47 / $2,349.44 / $3,322.04	Professional		$1,930.47	$2,349.44	$3,322.04