Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,584.48 / $4,933.00 / $4,933.00	Facility		$2,584.48	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,152.03 / $2,584.48 / $2,680.21	Professional		$2,152.03	$2,584.48	$2,680.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,351.65 / $10,899.67 / $14,767.32	Facility		$9,351.65	$10,899.67	$14,767.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.96 / $2,691.83 / $3,151.71	Professional		$500.96	$2,691.83	$3,151.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,720.02 / $2,878.96 / $3,113.10	Professional		$1,720.02	$2,878.96	$3,113.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,172.89 / $4,933.00 / $4,933.00	Facility		$2,172.89	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,172.89 / $2,194.27 / $2,849.31	Professional		$2,172.89	$2,194.27	$2,849.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,585.52 / $1,983.51 / $2,943.14	Professional		$1,585.52	$1,983.51	$2,943.14
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 $2,215.02 / $2,996.80 / $3,884.44	Professional		$2,215.02	$2,996.80	$3,884.44