Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,599.58 / $4,933.00 / $4,933.00	Facility		$2,599.58	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,402.98 / $2,423.44 / $2,695.86	Professional		$1,402.98	$2,423.44	$2,695.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,893.95 / $11,531.75 / $15,623.69	Facility		$9,893.95	$11,531.75	$15,623.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.45 / $1,993.36 / $3,066.71	Professional		$487.45	$1,993.36	$3,066.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,734.06 / $2,592.56 / $3,142.04	Professional		$1,734.06	$2,592.56	$3,142.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,188.04 / $4,933.00 / $4,933.00	Facility		$2,188.04	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,165.50 / $2,301.65 / $3,466.10	Professional		$2,165.50	$2,301.65	$3,466.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $1,701.84 / $2,565.08	Professional		$164.25	$1,701.84	$2,565.08
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 $2,109.25 / $2,660.39 / $3,671.16	Professional		$2,109.25	$2,660.39	$3,671.16