Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,755.58 / $4,933.00 / $5,757.00	Facility		$2,755.58	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,935.86 / $2,708.72 / $2,861.56	Professional		$1,935.86	$2,708.72	$2,861.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,345.68 / $12,142.79 / $16,451.55	Facility		$10,345.68	$12,142.79	$16,451.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.26 / $2,100.08 / $3,489.37	Professional		$549.26	$2,100.08	$3,489.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,565.38 / $2,568.85 / $4,542.14	Professional		$1,565.38	$2,568.85	$4,542.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,264.13 / $4,933.00 / $5,757.00	Facility		$2,264.13	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,144.54 / $2,450.90 / $3,552.58	Professional		$2,144.54	$2,450.90	$3,552.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $259.27 / $1,764.80 / $2,684.34	Professional		$259.27	$1,764.80	$2,684.34
United Facility/Professional Facility Modifier Low / Median / High Price $5,356.00 / $11,464.00 / $14,085.00	Facility		$5,356.00	$11,464.00	$14,085.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,239.66 / $2,713.64 / $3,597.62	Professional		$2,239.66	$2,713.64	$3,597.62