Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,109.42 / $4,933.00 / $4,933.00	Facility		$2,109.42	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,505.09 / $2,109.42 / $2,190.55	Professional		$1,505.09	$2,109.42	$2,190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,802.79 / $9,108.20 / $12,407.88	Facility		$7,802.79	$9,108.20	$12,407.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.05 / $2,915.58 / $4,737.82	Professional		$413.05	$2,915.58	$4,737.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,467.38 / $2,271.67 / $3,265.36	Professional		$1,467.38	$2,271.67	$3,265.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,804.25 / $4,933.00 / $4,933.00	Facility		$1,804.25	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,804.25 / $1,870.87 / $2,960.94	Professional		$1,804.25	$1,870.87	$2,960.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.78 / $1,164.39 / $1,906.56	Professional		$172.78	$1,164.39	$1,906.56
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 $1,740.22 / $2,064.04 / $3,108.47	Professional		$1,740.22	$2,064.04	$3,108.47