Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,191.40 / $4,933.00 / $4,933.00	Facility		$2,191.40	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,501.46 / $2,191.40 / $2,272.56	Professional		$1,501.46	$2,191.40	$2,272.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,865.67 / $9,167.70 / $12,420.79	Facility		$7,865.67	$9,167.70	$12,420.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.53 / $1,521.96 / $2,708.59	Professional		$430.53	$1,521.96	$2,708.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,470.54 / $2,424.46 / $2,790.36	Professional		$1,470.54	$2,424.46	$2,790.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,832.29 / $4,933.00 / $4,933.00	Facility		$1,832.29	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,832.29 / $1,872.90 / $2,638.60	Professional		$1,832.29	$1,872.90	$2,638.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $1,314.87 / $2,051.81	Professional		$104.37	$1,314.87	$2,051.81
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 $1,807.17 / $2,330.64 / $3,278.36	Professional		$1,807.17	$2,330.64	$3,278.36