Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,766.20 / $4,933.00 / $4,933.00	Facility		$2,766.20	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,948.01 / $2,724.50 / $2,872.59	Professional		$1,948.01	$2,724.50	$2,872.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,812.04 / $11,516.46 / $15,602.97	Facility		$9,812.04	$11,516.46	$15,602.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.90 / $2,240.54 / $3,584.87	Professional		$547.90	$2,240.54	$3,584.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,616.82 / $2,613.92 / $4,630.18	Professional		$1,616.82	$2,613.92	$4,630.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,156.61 / $2,766.20 / $6,906.00	Facility		$2,156.61	$2,766.20	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,130.85 / $2,415.40 / $3,587.76	Professional		$2,130.85	$2,415.40	$3,587.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $242.09 / $1,447.40 / $2,423.91	Professional		$242.09	$1,447.40	$2,423.91
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 $2,156.61 / $2,711.16 / $3,494.30	Professional		$2,156.61	$2,711.16	$3,494.30