Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,728.79 / $4,933.00 / $4,933.00	Facility		$2,728.79	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,869.78 / $2,543.76 / $2,829.85	Professional		$1,869.78	$2,543.76	$2,829.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,858.32 / $11,499.40 / $16,178.81	Facility		$9,858.32	$11,499.40	$16,178.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.24 / $1,788.25 / $3,221.16	Professional		$572.24	$1,788.25	$3,221.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,821.10 / $2,930.34 / $3,466.25	Professional		$1,821.10	$2,930.34	$3,466.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,262.10 / $4,933.00 / $4,933.00	Facility		$2,262.10	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,262.10 / $2,326.84 / $3,358.05	Professional		$2,262.10	$2,326.84	$3,358.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $1,779.01 / $2,673.70	Professional		$164.25	$1,779.01	$2,673.70
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 $2,337.17 / $2,838.25 / $4,017.80	Professional		$2,337.17	$2,838.25	$4,017.80