Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,566.57 / $4,933.00 / $4,933.00	Facility		$2,566.57	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,755.68 / $2,298.21 / $2,566.57	Professional		$1,755.68	$2,298.21	$2,566.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,230.76 / $10,690.70 / $14,330.58	Facility		$7,230.76	$10,690.70	$14,330.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.96 / $2,820.51 / $3,414.30	Professional		$529.96	$2,820.51	$3,414.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,747.57 / $2,442.94 / $4,701.20	Professional		$1,747.57	$2,442.94	$4,701.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,061.82 / $4,933.00 / $4,933.00	Facility		$2,061.82	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,995.85 / $2,255.12 / $3,221.93	Professional		$1,995.85	$2,255.12	$3,221.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.22 / $1,713.13 / $2,590.47	Professional		$194.22	$1,713.13	$2,590.47
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 $2,066.39 / $2,626.68 / $3,418.40	Professional		$2,066.39	$2,626.68	$3,418.40