Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,655.09 / $4,933.00 / $4,933.00	Facility		$2,655.09	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.56 / $2,655.09 / $2,753.42	Professional		$1,819.56	$2,655.09	$2,753.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,575.32 / $11,169.29 / $15,714.37	Facility		$9,575.32	$11,169.29	$15,714.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.15 / $2,794.97 / $3,971.79	Professional		$500.15	$2,794.97	$3,971.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,777.22 / $2,811.44 / $3,378.20	Professional		$1,777.22	$2,811.44	$3,378.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,199.14 / $4,933.00 / $4,933.00	Facility		$2,199.14	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,199.14 / $2,267.59 / $3,029.28	Professional		$2,199.14	$2,267.59	$3,029.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $1,719.24 / $2,593.08	Professional		$164.25	$1,719.24	$2,593.08
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 $2,258.51 / $2,804.19 / $3,840.27	Professional		$2,258.51	$2,804.19	$3,840.27