Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,741.33 / $4,933.00 / $4,933.00	Facility		$2,741.33	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,892.62 / $2,741.33 / $2,842.86	Professional		$1,892.62	$2,741.33	$2,842.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,861.20 / $11,493.57 / $15,571.97	Facility		$9,861.20	$11,493.57	$15,571.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $538.67 / $1,886.11 / $3,227.56	Professional		$538.67	$1,886.11	$3,227.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,826.14 / $2,375.55 / $3,507.14	Professional		$1,826.14	$2,375.55	$3,507.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,299.87 / $4,933.00 / $4,933.00	Facility		$2,299.87	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,299.87 / $2,333.78 / $3,104.82	Professional		$2,299.87	$2,333.78	$3,104.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $1,792.59 / $2,683.95	Professional		$164.25	$1,792.59	$2,683.95
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 $2,284.55 / $2,867.18 / $3,578.64	Professional		$2,284.55	$2,867.18	$3,578.64