Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,004.41 / $4,933.00 / $4,933.00	Facility		$2,004.41	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,420.47 / $2,004.41 / $2,081.50	Professional		$1,420.47	$2,004.41	$2,081.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,197.59 / $8,447.86 / $11,445.51	Facility		$7,197.59	$8,447.86	$11,445.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.95 / $1,891.53 / $3,794.87	Professional		$401.95	$1,891.53	$3,794.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,164.61 / $1,871.99 / $3,459.34	Professional		$1,164.61	$1,871.99	$3,459.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,746.97 / $2,004.41 / $6,906.00	Facility		$1,746.97	$2,004.41	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,549.05 / $1,764.50 / $2,599.71	Professional		$1,549.05	$1,764.50	$2,599.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $1,070.13 / $1,781.64	Professional		$137.33	$1,070.13	$1,781.64
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 $1,574.72 / $1,961.98 / $2,695.77	Professional		$1,574.72	$1,961.98	$2,695.77