Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,584.42 / $4,933.00 / $4,933.00	Facility		$2,584.42	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $983.78 / $2,584.42 / $2,680.14	Professional		$983.78	$2,584.42	$2,680.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,554.67 / $8,959.65 / $20,661.66	Facility		$6,554.67	$8,959.65	$20,661.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.30 / $1,717.27 / $2,263.84	Professional		$363.30	$1,717.27	$2,263.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,408.89 / $2,700.80 / $3,494.94	Professional		$1,408.89	$2,700.80	$3,494.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,584.42 / $4,933.00 / $4,933.00	Facility		$2,584.42	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,515.05 / $2,701.45 / $3,511.88	Professional		$2,515.05	$2,701.45	$3,511.88
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 $1,771.09 / $2,233.12 / $3,634.59	Professional		$1,771.09	$2,233.12	$3,634.59