Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,439.98 / $4,933.00 / $4,933.00	Facility		$2,439.98	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.76 / $2,439.98 / $2,530.36	Professional		$974.76	$2,439.98	$2,530.36
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 $323.86 / $1,144.84 / $2,472.88	Professional		$323.86	$1,144.84	$2,472.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,330.17 / $2,601.50 / $3,315.77	Professional		$1,330.17	$2,601.50	$3,315.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,439.98 / $4,933.00 / $4,933.00	Facility		$2,439.98	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,286.41 / $2,455.86 / $3,192.61	Professional		$2,286.41	$2,455.86	$3,192.61
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 $1,750.97 / $2,227.71 / $3,455.45	Professional		$1,750.97	$2,227.71	$3,455.45