Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,004.01 / $4,933.00 / $4,933.00	Facility		$2,004.01	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.75 / $1,727.84 / $2,078.23	Professional		$974.75	$1,727.84	$2,078.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,899.21 / $8,063.70 / $18,595.53	Facility		$5,899.21	$8,063.70	$18,595.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.35 / $1,740.17 / $2,037.46	Professional		$366.35	$1,740.17	$2,037.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.51 / $2,202.42 / $2,551.33	Professional		$1,092.51	$2,202.42	$2,551.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,322.67 / $4,933.00 / $4,933.00	Facility		$1,322.67	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,234.47 / $1,419.64 / $2,078.23	Professional		$1,234.47	$1,419.64	$2,078.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
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 $1,605.82 / $2,074.09 / $2,795.59	Professional		$1,605.82	$2,074.09	$2,795.59