Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,071.21 / $4,933.00 / $4,933.00	Facility		$2,071.21	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,409.13 / $2,071.21 / $2,147.94	Professional		$1,409.13	$2,071.21	$2,147.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,535.20 / $8,789.56 / $12,366.27	Facility		$7,535.20	$8,789.56	$12,366.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.27 / $1,595.94 / $3,615.73	Professional		$390.27	$1,595.94	$3,615.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,389.32 / $2,148.23 / $2,613.71	Professional		$1,389.32	$2,148.23	$2,613.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,653.03 / $4,933.00 / $4,933.00	Facility		$1,653.03	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,653.03 / $1,765.98 / $2,500.17	Professional		$1,653.03	$1,765.98	$2,500.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $1,238.06 / $1,913.67	Professional		$104.37	$1,238.06	$1,913.67
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 $1,672.69 / $2,109.86 / $2,677.90	Professional		$1,672.69	$2,109.86	$2,677.90