Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,209.65 / $4,933.00 / $4,933.00	Facility		$2,209.65	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,608.04 / $2,065.86 / $2,291.48	Professional		$1,608.04	$2,065.86	$2,291.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,344.07 / $9,725.31 / $13,176.24	Facility		$8,344.07	$9,725.31	$13,176.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.51 / $1,514.79 / $2,592.16	Professional		$428.51	$1,514.79	$2,592.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,466.02 / $2,314.84 / $2,978.59	Professional		$1,466.02	$2,314.84	$2,978.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,955.78 / $4,933.00 / $4,933.00	Facility		$1,955.78	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,763.17 / $1,955.78 / $2,564.61	Professional		$1,763.17	$1,955.78	$2,564.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.14 / $1,307.96 / $2,047.53	Professional		$134.14	$1,307.96	$2,047.53
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 $1,966.47 / $2,331.34 / $3,058.24	Professional		$1,966.47	$2,331.34	$3,058.24