Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,565.53 / $4,933.00 / $4,933.00	Facility		$2,565.53	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,821.39 / $2,141.84 / $2,660.54	Professional		$1,821.39	$2,141.84	$2,660.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,140.33 / $10,653.37 / $14,433.62	Facility		$9,140.33	$10,653.37	$14,433.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.25 / $1,765.65 / $3,142.30	Professional		$480.25	$1,765.65	$3,142.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,703.46 / $2,466.04 / $3,370.52	Professional		$1,703.46	$2,466.04	$3,370.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,172.61 / $4,933.00 / $4,933.00	Facility		$2,172.61	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,921.21 / $2,195.67 / $2,848.94	Professional		$1,921.21	$2,195.67	$2,848.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $1,673.45 / $2,507.31	Professional		$164.25	$1,673.45	$2,507.31
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 $2,285.38 / $2,698.64 / $3,756.82	Professional		$2,285.38	$2,698.64	$3,756.82