Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,619.21 / $4,933.00 / $4,933.00	Facility		$2,619.21	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,808.95 / $2,619.21 / $2,716.23	Professional		$1,808.95	$2,619.21	$2,716.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,427.04 / $10,987.55 / $14,886.38	Facility		$9,427.04	$10,987.55	$14,886.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.11 / $2,442.46 / $3,096.00	Professional		$492.11	$2,442.46	$3,096.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,750.06 / $2,828.71 / $3,356.14	Professional		$1,750.06	$2,828.71	$3,356.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $4,933.00 / $4,933.00	Facility		$2,197.85	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,197.85 / $2,234.14 / $2,914.29	Professional		$2,197.85	$2,234.14	$2,914.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $1,688.94 / $2,550.19	Professional		$164.25	$1,688.94	$2,550.19
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 $2,232.86 / $2,774.67 / $3,790.48	Professional		$2,232.86	$2,774.67	$3,790.48