Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,182.37 / $4,933.00 / $5,757.00	Facility		$2,182.37	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,475.83 / $1,780.05 / $2,662.57	Professional		$1,475.83	$1,780.05	$2,662.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,950.84 / $9,331.95 / $12,643.31	Facility		$7,950.84	$9,331.95	$12,643.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.58 / $2,439.69 / $4,284.72	Professional		$436.58	$2,439.69	$4,284.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,242.54 / $2,023.17 / $3,600.20	Professional		$1,242.54	$2,023.17	$3,600.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,778.42 / $4,933.00 / $5,757.00	Facility		$1,778.42	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,619.54 / $1,943.44 / $2,867.03	Professional		$1,619.54	$1,943.44	$2,867.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.47 / $1,158.13 / $1,935.18	Professional		$207.47	$1,158.13	$1,935.18
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 $1,754.08 / $2,075.42 / $2,804.90	Professional		$1,754.08	$2,075.42	$2,804.90