Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,079.80 / $4,933.00 / $4,933.00	Facility		$2,079.80	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,461.97 / $2,056.65 / $2,159.79	Professional		$1,461.97	$2,056.65	$2,159.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,548.98 / $8,860.28 / $12,004.28	Facility		$7,548.98	$8,860.28	$12,004.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.20 / $2,449.57 / $4,086.98	Professional		$463.20	$2,449.57	$4,086.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,185.33 / $1,924.10 / $3,434.54	Professional		$1,185.33	$1,924.10	$3,434.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,673.75 / $2,079.80 / $4,933.00	Facility		$1,673.75	$2,079.80	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,620.11 / $1,841.12 / $2,697.50	Professional		$1,620.11	$1,841.12	$2,697.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.71 / $1,085.84 / $1,865.31	Professional		$172.71	$1,085.84	$1,865.31
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 $1,662.92 / $1,958.90 / $2,663.74	Professional		$1,662.92	$1,958.90	$2,663.74