Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,592.48 / $4,933.00 / $4,933.00	Facility		$2,592.48	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,796.50 / $2,592.48 / $2,688.50	Professional		$1,796.50	$2,592.48	$2,688.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,366.36 / $10,925.55 / $15,371.45	Facility		$9,366.36	$10,925.55	$15,371.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.08 / $1,991.97 / $3,008.65	Professional		$573.08	$1,991.97	$3,008.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,732.02 / $2,842.77 / $3,333.75	Professional		$1,732.02	$2,842.77	$3,333.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,234.14 / $4,933.00 / $4,933.00	Facility		$2,234.14	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,211.42 / $2,234.14 / $3,060.79	Professional		$2,211.42	$2,234.14	$3,060.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.89 / $1,534.19 / $2,398.38	Professional		$133.89	$1,534.19	$2,398.38
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 $2,287.32 / $2,777.01 / $3,829.62	Professional		$2,287.32	$2,777.01	$3,829.62