Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,109.33 / $4,933.00 / $16,660.30	Facility		$2,109.33	$4,933.00	$16,660.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,420.67 / $1,711.28 / $2,589.02	Professional		$1,420.67	$1,711.28	$2,589.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,279.79 / $7,370.62 / $9,986.02	Facility		$6,279.79	$7,370.62	$9,986.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.12 / $2,364.46 / $4,032.03	Professional		$423.12	$2,364.46	$4,032.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,203.38 / $1,889.45 / $3,483.62	Professional		$1,203.38	$1,889.45	$3,483.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,712.72 / $4,112.00 / $16,660.30	Facility		$1,712.72	$4,112.00	$16,660.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,566.98 / $1,880.37 / $2,735.80	Professional		$1,566.98	$1,880.37	$2,735.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.71 / $1,102.62 / $1,889.39	Professional		$172.71	$1,102.62	$1,889.39
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $9,143.00 / $12,767.00	Facility		$4,635.00	$9,143.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,696.20 / $2,004.24 / $2,734.81	Professional		$1,696.20	$2,004.24	$2,734.81