Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,062.23 / $4,933.00 / $4,933.00	Facility		$2,062.23	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.11 / $2,062.23 / $2,138.61	Professional		$1,412.11	$2,062.23	$2,138.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,454.46 / $8,688.43 / $11,771.44	Facility		$7,454.46	$8,688.43	$11,771.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.53 / $1,921.04 / $3,798.68	Professional		$402.53	$1,921.04	$3,798.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,379.70 / $2,051.83 / $2,617.73	Professional		$1,379.70	$2,051.83	$2,617.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,721.75 / $4,933.00 / $4,933.00	Facility		$1,721.75	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,721.75 / $1,754.27 / $2,461.25	Professional		$1,721.75	$1,754.27	$2,461.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.53 / $1,231.23 / $1,932.79	Professional		$104.53	$1,231.23	$1,932.79
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 $1,791.59 / $2,190.42 / $3,054.17	Professional		$1,791.59	$2,190.42	$3,054.17