Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,536.01 / $4,933.00 / $4,933.00	Facility		$2,536.01	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,642.39 / $2,536.01 / $2,629.94	Professional		$1,642.39	$2,536.01	$2,629.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,202.57 / $10,725.92 / $14,531.92	Facility		$9,202.57	$10,725.92	$14,531.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $472.38 / $2,778.74 / $4,168.10	Professional		$472.38	$2,778.74	$4,168.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,681.74 / $2,802.81 / $3,028.87	Professional		$1,681.74	$2,802.81	$3,028.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,830.27 / $4,933.00 / $4,933.00	Facility		$1,830.27	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,830.27 / $2,141.41 / $2,713.80	Professional		$1,830.27	$2,141.41	$2,713.80
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 $1,820.00 / $4,056.00 / $6,327.00	Facility		$1,820.00	$4,056.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,096.67 / $2,651.38 / $3,776.25	Professional		$2,096.67	$2,651.38	$3,776.25