Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,083.84 / $4,933.00 / $4,933.00	Facility		$2,083.84	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,733.86 / $2,083.84 / $2,161.02	Professional		$1,733.86	$2,083.84	$2,161.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,192.74 / $10,714.46 / $14,516.39	Facility		$9,192.74	$10,714.46	$14,516.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.35 / $1,596.29 / $2,554.05	Professional		$390.35	$1,596.29	$2,554.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,391.76 / $2,514.15 / $3,118.77	Professional		$1,391.76	$2,514.15	$3,118.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,048.73 / $4,933.00 / $4,933.00	Facility		$2,048.73	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,772.26 / $2,048.73 / $2,663.34	Professional		$1,772.26	$2,048.73	$2,663.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,273.57 / $1,600.72 / $2,380.59	Professional		$1,273.57	$1,600.72	$2,380.59
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 $1,864.52 / $2,576.54 / $3,402.83	Professional		$1,864.52	$2,576.54	$3,402.83