Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,663.76 / $4,933.00 / $4,933.00	Facility		$2,663.76	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,117.19 / $2,663.76 / $2,762.42	Professional		$1,117.19	$2,663.76	$2,762.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,831.98 / $13,439.46 / $30,992.46	Facility		$9,831.98	$13,439.46	$30,992.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $580.04 / $2,122.36 / $4,121.43	Professional		$580.04	$2,122.36	$4,121.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,452.17 / $2,933.41 / $3,579.81	Professional		$1,452.17	$2,933.41	$3,579.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,760.04 / $4,933.00 / $4,933.00	Facility		$1,760.04	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,760.04 / $1,961.72 / $2,762.42	Professional		$1,760.04	$1,961.72	$2,762.42
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 $2,025.70 / $2,527.89 / $3,745.02	Professional		$2,025.70	$2,527.89	$3,745.02