Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,597.59 / $4,933.00 / $4,933.00	Facility		$2,597.59	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,823.93 / $2,597.59 / $2,697.50	Professional		$1,823.93	$2,597.59	$2,697.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,782.77 / $11,419.44 / $15,556.42	Facility		$9,782.77	$11,419.44	$15,556.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.66 / $1,903.22 / $3,197.41	Professional		$517.66	$1,903.22	$3,197.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,454.18 / $2,382.98 / $4,197.28	Professional		$1,454.18	$2,382.98	$4,197.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,108.88 / $4,933.00 / $4,933.00	Facility		$2,108.88	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,108.88 / $2,271.30 / $3,467.92	Professional		$2,108.88	$2,271.30	$3,467.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.08 / $1,490.44 / $2,426.87	Professional		$207.08	$1,490.44	$2,426.87
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 $2,046.30 / $2,547.78 / $3,425.78	Professional		$2,046.30	$2,547.78	$3,425.78