Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,151.77 / $4,933.00 / $5,757.00	Facility		$2,151.77	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,579.28 / $2,151.77 / $2,234.53	Professional		$1,579.28	$2,151.77	$2,234.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,076.41 / $10,905.75 / $25,610.71	Facility		$8,076.41	$10,905.75	$25,610.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.50 / $1,630.74 / $2,790.57	Professional		$426.50	$1,630.74	$2,790.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.18 / $2,108.17 / $3,604.97	Professional		$1,304.18	$2,108.17	$3,604.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,881.03 / $4,933.00 / $5,757.00	Facility		$1,881.03	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,668.25 / $1,881.03 / $2,369.02	Professional		$1,668.25	$1,881.03	$2,369.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.69 / $1,147.50 / $1,914.56	Professional		$207.69	$1,147.50	$1,914.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,796.13 / $2,296.02 / $3,022.48	Professional		$1,796.13	$2,296.02	$3,022.48