Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,349.30 / $4,933.00 / $4,933.00	Facility		$2,349.30	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,709.81 / $2,349.30 / $2,436.31	Professional		$1,709.81	$2,349.30	$2,436.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,637.34 / $10,067.12 / $13,639.36	Facility		$8,637.34	$10,067.12	$13,639.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.91 / $2,574.56 / $3,475.66	Professional		$514.91	$2,574.56	$3,475.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,557.97 / $2,402.19 / $3,166.27	Professional		$1,557.97	$2,402.19	$3,166.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,027.03 / $4,933.00 / $4,933.00	Facility		$2,027.03	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,003.86 / $2,027.03 / $2,658.04	Professional		$2,003.86	$2,027.03	$2,658.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.14 / $1,396.50 / $2,189.29	Professional		$134.14	$1,396.50	$2,189.29
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 $2,032.97 / $2,468.91 / $3,407.83	Professional		$2,032.97	$2,468.91	$3,407.83