Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,573.40 / $4,933.00 / $4,933.00	Facility		$2,573.40	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,767.65 / $2,573.40 / $2,672.38	Professional		$1,767.65	$2,573.40	$2,672.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,568.00 / $11,168.74 / $15,214.89	Facility		$9,568.00	$11,168.74	$15,214.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.48 / $2,087.53 / $5,179.88	Professional		$510.48	$2,087.53	$5,179.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,441.84 / $2,360.87 / $4,130.89	Professional		$1,441.84	$2,360.87	$4,130.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,117.44 / $4,933.00 / $4,933.00	Facility		$2,117.44	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,117.44 / $2,254.19 / $3,469.92	Professional		$2,117.44	$2,254.19	$3,469.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.08 / $1,478.56 / $2,392.44	Professional		$207.08	$1,478.56	$2,392.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,064.05 / $2,509.88 / $3,693.97	Professional		$2,064.05	$2,509.88	$3,693.97