Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,162.92 / $4,933.00 / $4,933.00	Facility		$2,162.92	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,608.12 / $2,162.92 / $2,243.04	Professional		$1,608.12	$2,162.92	$2,243.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,471.85 / $9,874.24 / $13,378.02	Facility		$8,471.85	$9,874.24	$13,378.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.56 / $2,468.82 / $4,807.09	Professional		$403.56	$2,468.82	$4,807.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,435.46 / $2,265.00 / $2,982.30	Professional		$1,435.46	$2,265.00	$2,982.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,958.04 / $4,933.00 / $4,933.00	Facility		$1,958.04	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,847.29 / $1,958.04 / $2,788.97	Professional		$1,847.29	$1,958.04	$2,788.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.14 / $1,269.97 / $1,982.23	Professional		$134.14	$1,269.97	$1,982.23
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 $1,788.22 / $2,317.94 / $3,059.69	Professional		$1,788.22	$2,317.94	$3,059.69