Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,883.00 / $4,933.00 / $26,791.45	Facility		$1,883.00	$4,933.00	$26,791.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.47 / $1,515.38 / $2,531.77	Professional		$1,291.47	$1,515.38	$2,531.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,984.44 / $8,197.68 / $11,106.55	Facility		$6,984.44	$8,197.68	$11,106.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.70 / $1,335.21 / $2,456.78	Professional		$377.70	$1,335.21	$2,456.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,685.36 / $3,040.68	Professional		$1,054.29	$1,685.36	$3,040.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,496.93 / $4,933.00 / $26,791.45	Facility		$1,496.93	$4,933.00	$26,791.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,377.61 / $1,631.13 / $2,790.79	Professional		$1,377.61	$1,631.13	$2,790.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $960.89 / $1,622.42	Professional		$137.00	$960.89	$1,622.42
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 $1,489.29 / $1,771.23 / $2,437.52	Professional		$1,489.29	$1,771.23	$2,437.52