Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,063.71 / $4,933.00 / $4,933.00	Facility		$2,063.71	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,443.06 / $2,063.71 / $2,140.15	Professional		$1,443.06	$2,063.71	$2,140.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.34 / $8,741.91 / $11,843.90	Facility		$7,500.34	$8,741.91	$11,843.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.74 / $2,170.03 / $2,540.76	Professional		$407.74	$2,170.03	$2,540.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,382.49 / $1,805.45 / $2,679.09	Professional		$1,382.49	$1,805.45	$2,679.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,751.99 / $4,933.00 / $4,933.00	Facility		$1,751.99	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,751.99 / $1,758.42 / $2,375.30	Professional		$1,751.99	$1,758.42	$2,375.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $1,215.78 / $1,883.17	Professional		$104.37	$1,215.78	$1,883.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $3,869.00 / $6,327.00	Facility		$1,820.00	$3,869.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,667.20 / $2,154.63 / $2,945.08	Professional		$1,667.20	$2,154.63	$2,945.08