Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,824.31 / $4,933.00 / $5,757.00	Facility		$2,824.31	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,001.22 / $2,373.56 / $3,879.43	Professional		$2,001.22	$2,373.56	$3,879.43
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 $558.75 / $2,526.42 / $4,106.62	Professional		$558.75	$2,526.42	$4,106.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,609.86 / $2,523.03 / $4,707.51	Professional		$1,609.86	$2,523.03	$4,707.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,518.31 / $4,933.00 / $5,757.00	Facility		$2,518.31	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,183.00 / $2,518.31 / $3,879.43	Professional		$2,183.00	$2,518.31	$3,879.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $241.20 / $1,469.64 / $2,526.44	Professional		$241.20	$1,469.64	$2,526.44
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 $2,113.87 / $2,665.79 / $3,491.22	Professional		$2,113.87	$2,665.79	$3,491.22