Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,194.08 / $4,933.00 / $4,933.00	Facility		$2,194.08	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,061.13 / $2,194.08 / $2,275.34	Professional		$1,061.13	$2,194.08	$2,275.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,564.34 / $8,966.50 / $20,661.66	Facility		$6,564.34	$8,966.50	$20,661.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.70 / $1,717.27 / $2,176.77	Professional		$386.70	$1,717.27	$2,176.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.09 / $2,411.01 / $2,794.10	Professional		$1,196.09	$2,411.01	$2,794.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,466.71 / $4,933.00 / $4,933.00	Facility		$1,466.71	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,466.71 / $1,634.77 / $2,275.34	Professional		$1,466.71	$1,634.77	$2,275.34
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 $1,713.00 / $3,869.00 / $6,327.00	Facility		$1,713.00	$3,869.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,714.55 / $2,293.25 / $2,985.55	Professional		$1,714.55	$2,293.25	$2,985.55