Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,039.24 / $4,933.00 / $4,933.00	Facility		$2,039.24	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,462.09 / $1,803.17 / $2,039.24	Professional		$1,462.09	$1,803.17	$2,039.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,920.23 / $8,753.07 / $12,084.47	Facility		$5,920.23	$8,753.07	$12,084.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.47 / $1,461.26 / $2,571.82	Professional		$397.47	$1,461.26	$2,571.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,541.85 / $2,206.76 / $4,026.62	Professional		$1,541.85	$2,206.76	$4,026.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,759.82 / $4,933.00 / $4,933.00	Facility		$1,759.82	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,579.88 / $1,759.82 / $2,519.12	Professional		$1,579.88	$1,759.82	$2,519.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.57 / $1,327.28 / $2,019.72	Professional		$163.57	$1,327.28	$2,019.72
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 $1,666.26 / $2,223.50 / $2,846.48	Professional		$1,666.26	$2,223.50	$2,846.48