Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,252.96 / $4,933.00 / $4,933.00	Facility		$2,252.96	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,633.11 / $2,252.96 / $2,336.40	Professional		$1,633.11	$2,252.96	$2,336.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,263.79 / $9,631.75 / $13,049.49	Facility		$8,263.79	$9,631.75	$13,049.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.82 / $2,346.01 / $3,889.44	Professional		$419.82	$2,346.01	$3,889.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,493.94 / $2,346.60 / $3,023.79	Professional		$1,493.94	$2,346.60	$3,023.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,941.56 / $4,933.00 / $4,933.00	Facility		$1,941.56	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,921.76 / $1,941.56 / $2,904.07	Professional		$1,921.76	$1,941.56	$2,904.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.14 / $1,315.53 / $2,083.84	Professional		$134.14	$1,315.53	$2,083.84
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 $1,890.99 / $2,354.82 / $3,268.09	Professional		$1,890.99	$2,354.82	$3,268.09