Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,217.80 / $4,933.00 / $4,933.00	Facility		$2,217.80	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,475.21 / $2,217.80 / $2,299.94	Professional		$1,475.21	$2,217.80	$2,299.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,994.27 / $9,325.04 / $13,119.65	Facility		$7,994.27	$9,325.04	$13,119.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.05 / $2,341.76 / $2,741.82	Professional		$419.05	$2,341.76	$2,741.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,487.98 / $2,413.69 / $2,738.58	Professional		$1,487.98	$2,413.69	$2,738.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,783.00 / $4,933.00 / $4,933.00	Facility		$1,783.00	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,783.00 / $1,896.18 / $2,615.71	Professional		$1,783.00	$1,896.18	$2,615.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.89 / $1,328.92 / $2,069.94	Professional		$133.89	$1,328.92	$2,069.94
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 $1,909.34 / $2,295.92 / $3,262.39	Professional		$1,909.34	$2,295.92	$3,262.39