Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,178.11 / $4,933.00 / $4,933.00	Facility		$2,178.11	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,589.45 / $2,178.11 / $2,258.78	Professional		$1,589.45	$2,178.11	$2,258.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,050.23 / $10,548.36 / $14,291.35	Facility		$9,050.23	$10,548.36	$14,291.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.25 / $1,567.34 / $2,507.73	Professional		$422.25	$1,567.34	$2,507.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,444.88 / $2,164.19 / $2,945.62	Professional		$1,444.88	$2,164.19	$2,945.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,990.20 / $4,933.00 / $4,933.00	Facility		$1,990.20	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,819.00 / $1,990.20 / $2,689.57	Professional		$1,819.00	$1,990.20	$2,689.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.14 / $1,276.97 / $2,001.92	Professional		$134.14	$1,276.97	$2,001.92
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 $1,885.29 / $2,395.03 / $3,194.48	Professional		$1,885.29	$2,395.03	$3,194.48