Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,393.19 / $4,933.00 / $4,933.00	Facility		$2,393.19	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,642.58 / $2,393.19 / $2,481.83	Professional		$1,642.58	$2,393.19	$2,481.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,589.84 / $10,011.76 / $13,564.35	Facility		$8,589.84	$10,011.76	$13,564.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.74 / $2,525.78 / $2,957.29	Professional		$502.74	$2,525.78	$2,957.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,604.71 / $2,642.32 / $3,052.38	Professional		$1,604.71	$2,642.32	$3,052.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,002.19 / $4,933.00 / $4,933.00	Facility		$2,002.19	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,002.19 / $2,045.68 / $2,906.91	Professional		$2,002.19	$2,045.68	$2,906.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.89 / $1,457.70 / $2,248.08	Professional		$133.89	$1,457.70	$2,248.08
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 $2,031.44 / $2,546.10 / $3,520.56	Professional		$2,031.44	$2,546.10	$3,520.56