Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,889.56 / $4,933.00 / $4,933.00	Facility		$2,889.56	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,320.22 / $2,889.56 / $2,996.58	Professional		$1,320.22	$2,889.56	$2,996.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,221.61 / $11,913.64 / $16,141.09	Facility		$10,221.61	$11,913.64	$16,141.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.85 / $3,056.59 / $4,343.57	Professional		$568.85	$3,056.59	$4,343.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,687.00 / $2,450.71 / $3,832.75	Professional		$1,687.00	$2,450.71	$3,832.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,239.59 / $4,933.00 / $4,933.00	Facility		$2,239.59	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,239.59 / $2,472.50 / $3,082.74	Professional		$2,239.59	$2,472.50	$3,082.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.44 / $1,718.94 / $2,678.65	Professional		$164.44	$1,718.94	$2,678.65
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 $1,912.59 / $2,718.41 / $3,609.16	Professional		$1,912.59	$2,718.41	$3,609.16