Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,025.77 / $4,933.00 / $5,757.00	Facility		$2,025.77	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,388.17 / $1,581.23 / $2,538.52	Professional		$1,388.17	$1,581.23	$2,538.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,932.51 / $3,441.90 / $4,663.22	Facility		$2,932.51	$3,441.90	$4,663.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $536.36 / $2,426.96 / $3,276.41	Professional		$536.36	$2,426.96	$3,276.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,159.83 / $1,833.43 / $3,367.86	Professional		$1,159.83	$1,833.43	$3,367.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,017.09 / $4,933.00 / $5,757.00	Facility		$2,017.09	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,579.21 / $2,017.09 / $2,995.97	Professional		$1,579.21	$2,017.09	$2,995.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,986.00 / $7,800.00 / $10,351.00	Facility		$3,986.00	$7,800.00	$10,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,166.03 / $1,568.26 / $2,184.00	Professional		$1,166.03	$1,568.26	$2,184.00