Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,271.23 / $4,933.00 / $4,933.00	Facility		$2,271.23	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,672.06 / $2,271.23 / $2,355.35	Professional		$1,672.06	$2,271.23	$2,355.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,203.18 / $9,561.10 / $12,953.77	Facility		$8,203.18	$9,561.10	$12,953.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.39 / $1,556.81 / $3,923.18	Professional		$440.39	$1,556.81	$3,923.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,507.04 / $2,379.92 / $3,098.60	Professional		$1,507.04	$2,379.92	$3,098.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,963.03 / $4,933.00 / $4,933.00	Facility		$1,963.03	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,938.52 / $1,963.03 / $2,950.09	Professional		$1,938.52	$1,963.03	$2,950.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.14 / $1,344.80 / $2,101.58	Professional		$134.14	$1,344.80	$2,101.58
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 $1,906.78 / $2,405.48 / $3,293.95	Professional		$1,906.78	$2,405.48	$3,293.95