Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,661.71 / $4,933.00 / $4,933.00	Facility		$2,661.71	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,795.96 / $2,661.71 / $2,760.30	Professional		$1,795.96	$2,661.71	$2,760.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,576.11 / $11,161.30 / $15,121.78	Facility		$9,576.11	$11,161.30	$15,121.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.07 / $2,794.50 / $3,971.13	Professional		$500.07	$2,794.50	$3,971.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.36 / $3,010.10 / $3,329.20	Professional		$1,778.36	$3,010.10	$3,329.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,165.65 / $4,933.00 / $4,933.00	Facility		$2,165.65	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,165.65 / $2,270.55 / $3,244.80	Professional		$2,165.65	$2,270.55	$3,244.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $1,753.61 / $2,645.29	Professional		$164.25	$1,753.61	$2,645.29
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 $2,365.71 / $2,777.80 / $4,127.33	Professional		$2,365.71	$2,777.80	$4,127.33