Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,068.07 / $4,933.00 / $4,933.00	Facility		$2,068.07	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,438.41 / $2,068.07 / $2,144.67	Professional		$1,438.41	$2,068.07	$2,144.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,433.17 / $8,663.61 / $11,737.82	Facility		$7,433.17	$8,663.61	$11,737.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.52 / $1,433.88 / $2,453.69	Professional		$409.52	$1,433.88	$2,453.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,387.82 / $2,135.04 / $2,672.12	Professional		$1,387.82	$2,135.04	$2,672.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,749.47 / $4,933.00 / $4,933.00	Facility		$1,749.47	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,749.47 / $1,763.59 / $2,471.51	Professional		$1,749.47	$1,763.59	$2,471.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $1,227.22 / $1,911.77	Professional		$104.37	$1,227.22	$1,911.77
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 $1,670.37 / $2,201.16 / $3,121.23	Professional		$1,670.37	$2,201.16	$3,121.23