Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,763.84 / $4,933.00 / $4,933.00	Facility		$2,763.84	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,994.46 / $2,576.58 / $2,763.84	Professional		$1,994.46	$2,576.58	$2,763.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,102.77 / $11,979.96 / $16,058.80	Facility		$8,102.77	$11,979.96	$16,058.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $577.51 / $2,022.12 / $3,598.71	Professional		$577.51	$2,022.12	$3,598.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,843.25 / $2,576.05 / $5,207.57	Professional		$1,843.25	$2,576.05	$5,207.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,246.63 / $4,933.00 / $4,933.00	Facility		$2,246.63	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,139.32 / $2,412.54 / $3,358.53	Professional		$2,139.32	$2,412.54	$3,358.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $196.50 / $1,836.29 / $2,746.61	Professional		$196.50	$1,836.29	$2,746.61
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,036.00	Facility		$850.00	$4,645.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,238.66 / $2,814.09 / $3,637.79	Professional		$2,238.66	$2,814.09	$3,637.79