Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,115.63 / $2,877.00 / $4,933.00	Facility		$2,115.63	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,503.83 / $2,115.63 / $2,197.00	Professional		$1,503.83	$2,115.63	$2,197.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,157.49 / $3,705.97 / $5,021.00	Facility		$3,157.49	$3,705.97	$5,021.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.59 / $2,652.35 / $4,463.92	Professional		$421.59	$2,652.35	$4,463.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,206.63 / $1,902.28 / $3,559.42	Professional		$1,206.63	$1,902.28	$3,559.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,640.25 / $2,877.00 / $4,933.00	Facility		$1,640.25	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,627.22 / $1,833.25 / $2,666.60	Professional		$1,627.22	$1,833.25	$2,666.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $1,112.84 / $1,872.11	Professional		$137.33	$1,112.84	$1,872.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.14 / $1,919.45 / $2,654.83	Professional		$1,626.14	$1,919.45	$2,654.83