Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,406.57 / $4,933.00 / $4,933.00	Facility		$2,406.57	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,558.22 / $2,406.57 / $2,495.69	Professional		$1,558.22	$2,406.57	$2,495.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,670.10 / $10,105.29 / $13,691.08	Facility		$8,670.10	$10,105.29	$13,691.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.45 / $2,638.30 / $3,957.45	Professional		$466.45	$2,638.30	$3,957.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,596.68 / $2,662.08 / $2,873.91	Professional		$1,596.68	$2,662.08	$2,873.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,738.09 / $4,933.00 / $4,933.00	Facility		$1,738.09	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,738.09 / $2,033.56 / $2,574.78	Professional		$1,738.09	$2,033.56	$2,574.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $1,554.70 / $2,334.91	Professional		$164.25	$1,554.70	$2,334.91
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 $2,084.96 / $2,632.44 / $3,441.68	Professional		$2,084.96	$2,632.44	$3,441.68