Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,514.96 / $4,933.00 / $4,933.00	Facility		$2,514.96	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,529.81 / $2,514.96 / $2,608.10	Professional		$1,529.81	$2,514.96	$2,608.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,035.45 / $10,531.13 / $14,268.01	Facility		$9,035.45	$10,531.13	$14,268.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.54 / $1,934.51 / $3,756.67	Professional		$556.54	$1,934.51	$3,756.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,681.76 / $2,828.05 / $3,055.29	Professional		$1,681.76	$2,828.05	$3,055.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,169.89 / $4,933.00 / $4,933.00	Facility		$2,169.89	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,145.88 / $2,169.89 / $3,102.60	Professional		$2,145.88	$2,169.89	$3,102.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.14 / $1,493.72 / $2,323.77	Professional		$134.14	$1,493.72	$2,323.77
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 $2,175.48 / $2,622.17 / $3,638.88	Professional		$2,175.48	$2,622.17	$3,638.88