Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,414.88 / $4,933.00 / $4,933.00	Facility		$2,414.88	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,528.16 / $2,250.66 / $4,421.89	Professional		$1,528.16	$2,250.66	$4,421.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,686.50 / $10,124.42 / $13,716.98	Facility		$8,686.50	$10,124.42	$13,716.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.02 / $1,669.17 / $2,970.58	Professional		$454.02	$1,669.17	$2,970.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,613.70 / $2,522.76 / $2,995.86	Professional		$1,613.70	$2,522.76	$2,995.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,031.20 / $4,933.00 / $4,933.00	Facility		$2,031.20	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,919.44 / $2,143.73 / $3,306.52	Professional		$1,919.44	$2,143.73	$3,306.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.14 / $1,460.60 / $2,257.84	Professional		$134.14	$1,460.60	$2,257.84
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 $2,020.92 / $2,518.33 / $3,272.99	Professional		$2,020.92	$2,518.33	$3,272.99