Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,741.50 / $4,933.00 / $5,757.00	Facility		$2,741.50	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,652.75 / $2,335.87 / $3,152.58	Professional		$1,652.75	$2,335.87	$3,152.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,968.13 / $5,831.13 / $7,900.25	Facility		$4,968.13	$5,831.13	$7,900.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.35 / $2,082.92 / $3,685.19	Professional		$588.35	$2,082.92	$3,685.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,603.49 / $2,228.88 / $4,243.54	Professional		$1,603.49	$2,228.88	$4,243.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,840.85 / $4,933.00 / $5,757.00	Facility		$1,840.85	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,840.85 / $2,157.55 / $3,524.10	Professional		$1,840.85	$2,157.55	$3,524.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.69 / $1,404.83 / $2,464.43	Professional		$207.69	$1,404.83	$2,464.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $7,800.00 / $10,652.00	Facility		$3,500.00	$7,800.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,918.63 / $2,291.98 / $3,220.81	Professional		$1,918.63	$2,291.98	$3,220.81