Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,315.25 / $4,933.00 / $4,933.00	Facility		$2,315.25	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,602.05 / $2,315.25 / $2,401.00	Professional		$1,602.05	$2,315.25	$2,401.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,377.59 / $9,772.18 / $13,748.74	Facility		$8,377.59	$9,772.18	$13,748.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.03 / $1,669.58 / $2,857.04	Professional		$488.03	$1,669.58	$2,857.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,554.36 / $2,322.54 / $2,975.55	Professional		$1,554.36	$2,322.54	$2,975.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,935.23 / $4,933.00 / $4,933.00	Facility		$1,935.23	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,935.23 / $1,974.78 / $2,841.22	Professional		$1,935.23	$1,974.78	$2,841.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.89 / $1,373.52 / $2,140.36	Professional		$133.89	$1,373.52	$2,140.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $4,056.00 / $6,327.00	Facility		$1,820.00	$4,056.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,009.55 / $2,443.37 / $3,335.55	Professional		$2,009.55	$2,443.37	$3,335.55