Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,436.83 / $4,933.00 / $4,933.00	Facility		$2,436.83	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,771.76 / $2,366.25 / $2,712.97	Professional		$1,771.76	$2,366.25	$2,712.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,787.23 / $10,250.01 / $14,421.01	Facility		$8,787.23	$10,250.01	$14,421.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $511.49 / $1,690.65 / $2,893.08	Professional		$511.49	$1,690.65	$2,893.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,633.69 / $2,780.54 / $3,301.55	Professional		$1,633.69	$2,780.54	$3,301.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,050.36 / $4,933.00 / $4,933.00	Facility		$2,050.36	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,938.34 / $2,172.56 / $3,295.17	Professional		$1,938.34	$2,172.56	$3,295.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.89 / $1,464.08 / $2,266.41	Professional		$133.89	$1,464.08	$2,266.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $4,056.00 / $6,327.00	Facility		$1,820.00	$4,056.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,009.90 / $2,578.08 / $3,524.70	Professional		$2,009.90	$2,578.08	$3,524.70