Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,689.93 / $4,933.00 / $4,933.00	Facility		$2,689.93	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,631.65 / $2,689.93 / $2,789.56	Professional		$1,631.65	$2,689.93	$2,789.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,210.18 / $11,900.32 / $16,123.04	Facility		$10,210.18	$11,900.32	$16,123.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.14 / $1,857.15 / $3,120.02	Professional		$505.14	$1,857.15	$3,120.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,796.40 / $2,929.32 / $3,259.38	Professional		$1,796.40	$2,929.32	$3,259.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,328.21 / $4,933.00 / $4,933.00	Facility		$2,328.21	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,293.71 / $2,328.21 / $3,106.53	Professional		$2,293.71	$2,328.21	$3,106.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $1,753.61 / $2,645.29	Professional		$164.32	$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 $2,389.78 / $2,861.63 / $3,604.34	Professional		$2,389.78	$2,861.63	$3,604.34