Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,035.22 / $4,933.00 / $6,853.00	Facility		$2,035.22	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,432.67 / $2,035.22 / $2,113.50	Professional		$1,432.67	$2,035.22	$2,113.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.39 / $5,567.33 / $7,584.24	Facility		$4,769.39	$5,567.33	$7,584.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.88 / $1,567.66 / $2,657.08	Professional		$453.88	$1,567.66	$2,657.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,144.96 / $1,859.49 / $3,271.72	Professional		$1,144.96	$1,859.49	$3,271.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,631.10 / $4,933.00 / $6,853.00	Facility		$1,631.10	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,631.10 / $1,784.48 / $2,769.58	Professional		$1,631.10	$1,784.48	$2,769.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.05 / $1,173.46 / $1,894.18	Professional		$138.05	$1,173.46	$1,894.18
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,624.42 / $1,982.24 / $2,652.16	Professional		$1,624.42	$1,982.24	$2,652.16