Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,503.44 / $4,933.00 / $4,933.00	Facility		$2,503.44	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,725.70 / $2,503.44 / $2,596.17	Professional		$1,725.70	$2,503.44	$2,596.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,522.04 / $11,098.27 / $15,036.39	Facility		$9,522.04	$11,098.27	$15,036.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.25 / $1,638.94 / $2,898.33	Professional		$469.25	$1,638.94	$2,898.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,669.78 / $2,491.88 / $3,199.23	Professional		$1,669.78	$2,491.88	$3,199.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,102.10 / $4,933.00 / $4,933.00	Facility		$2,102.10	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,102.10 / $2,132.73 / $2,853.80	Professional		$2,102.10	$2,132.73	$2,853.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.14 / $1,471.94 / $2,292.33	Professional		$134.14	$1,471.94	$2,292.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $3,869.00 / $6,327.00	Facility		$1,820.00	$3,869.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,066.48 / $2,616.21 / $3,702.92	Professional		$2,066.48	$2,616.21	$3,702.92