Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,274.48 / $4,933.00 / $4,933.00	Facility		$2,274.48	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,622.91 / $2,274.48 / $2,361.96	Professional		$1,622.91	$2,274.48	$2,361.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,396.61 / $9,801.37 / $13,352.16	Facility		$8,396.61	$9,801.37	$13,352.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.59 / $2,209.67 / $3,011.71	Professional		$497.59	$2,209.67	$3,011.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,301.38 / $2,187.36 / $3,522.33	Professional		$1,301.38	$2,187.36	$3,522.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,007.44 / $4,933.00 / $4,933.00	Facility		$2,007.44	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,007.44 / $2,017.14 / $3,192.94	Professional		$2,007.44	$2,017.14	$3,192.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.78 / $1,282.70 / $2,103.62	Professional		$172.78	$1,282.70	$2,103.62
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 $1,985.50 / $2,299.38 / $3,449.68	Professional		$1,985.50	$2,299.38	$3,449.68