Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,735.54 / $4,933.00 / $4,933.00	Facility		$2,735.54	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,091.79 / $2,735.54 / $2,836.85	Professional		$1,091.79	$2,735.54	$2,836.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,865.60 / $10,751.58 / $24,794.00	Facility		$7,865.60	$10,751.58	$24,794.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.20 / $1,526.46 / $2,716.62	Professional		$415.20	$1,526.46	$2,716.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,491.30 / $2,834.71 / $3,930.52	Professional		$1,491.30	$2,834.71	$3,930.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,735.54 / $4,933.00 / $4,933.00	Facility		$2,735.54	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,735.54 / $2,947.04 / $3,831.15	Professional		$2,735.54	$2,947.04	$3,831.15
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 $1,948.88 / $2,498.52 / $4,066.56	Professional		$1,948.88	$2,498.52	$4,066.56