Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,297.78 / $4,933.00 / $4,933.00	Facility		$2,297.78	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,639.18 / $2,297.78 / $2,386.15	Professional		$1,639.18	$2,297.78	$2,386.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,513.77 / $9,938.12 / $13,538.47	Facility		$8,513.77	$9,938.12	$13,538.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.55 / $1,840.69 / $4,170.22	Professional		$529.55	$1,840.69	$4,170.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,598.77 / $2,475.21 / $3,559.06	Professional		$1,598.77	$2,475.21	$3,559.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,988.03 / $4,933.00 / $4,933.00	Facility		$1,988.03	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,988.03 / $2,037.92 / $3,091.77	Professional		$1,988.03	$2,037.92	$3,091.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.78 / $1,288.08 / $2,132.92	Professional		$172.78	$1,288.08	$2,132.92
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 $2,016.32 / $2,341.76 / $3,528.48	Professional		$2,016.32	$2,341.76	$3,528.48