Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,605.14 / $4,933.00 / $4,933.00	Facility		$2,605.14	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,572.90 / $2,605.14 / $2,701.62	Professional		$1,572.90	$2,605.14	$2,701.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,821.87 / $11,447.74 / $15,509.87	Facility		$9,821.87	$11,447.74	$15,509.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.77 / $1,807.98 / $3,217.62	Professional		$491.77	$1,807.98	$3,217.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,746.73 / $2,909.63 / $3,181.80	Professional		$1,746.73	$2,909.63	$3,181.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,232.21 / $4,933.00 / $4,933.00	Facility		$2,232.21	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,226.80 / $2,232.21 / $3,153.20	Professional		$2,226.80	$2,232.21	$3,153.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.89 / $1,539.98 / $2,413.08	Professional		$133.89	$1,539.98	$2,413.08
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 $2,251.30 / $2,749.75 / $3,836.36	Professional		$2,251.30	$2,749.75	$3,836.36