Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,628.23 / $4,933.00 / $5,757.00	Facility		$2,628.23	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,807.46 / $2,588.98 / $2,729.31	Professional		$1,807.46	$2,588.98	$2,729.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,673.76 / $11,354.15 / $15,383.07	Facility		$9,673.76	$11,354.15	$15,383.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $545.78 / $2,932.64 / $5,150.49	Professional		$545.78	$2,932.64	$5,150.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,278.79 / $2,131.89 / $4,335.84	Professional		$1,278.79	$2,131.89	$4,335.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,077.48 / $4,933.00 / $5,757.00	Facility		$2,077.48	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,046.77 / $2,285.21 / $3,291.13	Professional		$2,046.77	$2,285.21	$3,291.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.69 / $1,373.33 / $2,328.66	Professional		$207.69	$1,373.33	$2,328.66
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 $1,207.41 / $2,268.87 / $2,934.90	Professional		$1,207.41	$2,268.87	$2,934.90