Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,163.58 / $4,933.00 / $4,933.00	Facility		$2,163.58	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.95 / $2,163.58 / $2,243.71	Professional		$1,479.95	$2,163.58	$2,243.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,750.74 / $9,040.98 / $12,720.00	Facility		$7,750.74	$9,040.98	$12,720.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.96 / $2,279.78 / $2,669.26	Professional		$407.96	$2,279.78	$2,669.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,449.94 / $2,104.79 / $2,748.71	Professional		$1,449.94	$2,104.79	$2,748.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,794.39 / $4,933.00 / $4,933.00	Facility		$1,794.39	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,794.39 / $1,847.60 / $2,508.88	Professional		$1,794.39	$1,847.60	$2,508.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $1,283.38 / $2,009.23	Professional		$104.37	$1,283.38	$2,009.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,783.68 / $2,216.21 / $2,812.89	Professional		$1,783.68	$2,216.21	$2,812.89