Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,598.98 / $4,933.00 / $4,933.00	Facility		$2,598.98	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,894.90 / $2,598.98 / $2,695.25	Professional		$1,894.90	$2,598.98	$2,695.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,741.58 / $11,354.15 / $15,383.07	Facility		$9,741.58	$11,354.15	$15,383.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.34 / $1,850.51 / $3,843.38	Professional		$503.34	$1,850.51	$3,843.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,723.06 / $2,661.11 / $3,509.28	Professional		$1,723.06	$2,661.11	$3,509.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,274.21 / $4,933.00 / $4,933.00	Facility		$2,274.21	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,216.79 / $2,274.21 / $3,326.24	Professional		$2,216.79	$2,274.21	$3,326.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.62 / $1,525.65 / $2,404.07	Professional		$164.62	$1,525.65	$2,404.07
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 $2,248.52 / $2,829.22 / $3,799.44	Professional		$2,248.52	$2,829.22	$3,799.44