Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,851.61 / $4,933.00 / $4,933.00	Facility		$2,851.61	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,292.42 / $2,851.61 / $2,957.23	Professional		$1,292.42	$2,851.61	$2,957.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,105.32 / $11,778.10 / $15,957.46	Facility		$10,105.32	$11,778.10	$15,957.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $539.94 / $728.92 / $3,334.93	Professional		$539.94	$728.92	$3,334.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,668.74 / $2,396.40 / $3,783.81	Professional		$1,668.74	$2,396.40	$3,783.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,193.50 / $4,933.00 / $4,933.00	Facility		$2,193.50	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,193.50 / $2,440.58 / $3,046.33	Professional		$2,193.50	$2,440.58	$3,046.33
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 $1,873.11 / $2,684.63 / $3,579.50	Professional		$1,873.11	$2,684.63	$3,579.50