Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,621.61 / $4,933.00 / $4,933.00	Facility		$2,621.61	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,824.55 / $2,621.61 / $3,795.04	Professional		$1,824.55	$2,621.61	$3,795.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,435.20 / $10,997.07 / $14,899.29	Facility		$9,435.20	$10,997.07	$14,899.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $548.78 / $2,007.91 / $3,089.08	Professional		$548.78	$2,007.91	$3,089.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,747.92 / $2,647.50 / $3,383.07	Professional		$1,747.92	$2,647.50	$3,383.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,209.17 / $4,933.00 / $4,933.00	Facility		$2,209.17	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,209.17 / $2,497.98 / $3,737.25	Professional		$2,209.17	$2,497.98	$3,737.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $1,716.22 / $2,575.71	Professional		$164.25	$1,716.22	$2,575.71
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 $2,238.60 / $2,719.98 / $3,763.83	Professional		$2,238.60	$2,719.98	$3,763.83