Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,519.01 / $4,933.00 / $4,933.00	Facility		$2,519.01	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,842.56 / $2,519.01 / $2,612.31	Professional		$1,842.56	$2,519.01	$2,612.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,355.98 / $12,070.26 / $16,353.28	Facility		$10,355.98	$12,070.26	$16,353.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.10 / $2,622.76 / $4,141.21	Professional		$488.10	$2,622.76	$4,141.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,671.17 / $2,622.80 / $3,413.95	Professional		$1,671.17	$2,622.80	$3,413.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,300.04 / $4,933.00 / $4,933.00	Facility		$2,300.04	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,149.33 / $2,300.04 / $3,196.51	Professional		$2,149.33	$2,300.04	$3,196.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $1,642.55 / $2,461.68	Professional		$164.25	$1,642.55	$2,461.68
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 $2,181.42 / $2,721.32 / $3,658.68	Professional		$2,181.42	$2,721.32	$3,658.68