Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,967.70 / $4,933.00 / $4,933.00	Facility		$2,967.70	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,154.94 / $2,967.70 / $3,077.61	Professional		$1,154.94	$2,967.70	$3,077.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,501.78 / $12,240.19 / $16,583.52	Facility		$10,501.78	$12,240.19	$16,583.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.62 / $2,147.34 / $3,533.27	Professional		$561.62	$2,147.34	$3,533.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,459.43 / $2,323.96 / $3,935.92	Professional		$1,459.43	$2,323.96	$3,935.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,271.19 / $4,933.00 / $4,933.00	Facility		$2,271.19	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,271.19 / $2,538.60 / $3,167.46	Professional		$2,271.19	$2,538.60	$3,167.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.44 / $1,775.64 / $2,766.39	Professional		$164.44	$1,775.64	$2,766.39
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 $1,675.03 / $2,792.47 / $3,737.69	Professional		$1,675.03	$2,792.47	$3,737.69