Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,990.65 / $4,933.00 / $4,933.00	Facility		$2,990.65	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.60 / $2,673.84 / $2,990.65	Professional		$2,041.60	$2,673.84	$2,990.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,431.04 / $12,465.32 / $17,209.59	Facility		$8,431.04	$12,465.32	$17,209.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.42 / $2,267.66 / $3,695.71	Professional		$587.42	$2,267.66	$3,695.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,006.69 / $2,805.00 / $5,423.24	Professional		$2,006.69	$2,805.00	$5,423.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,409.41 / $4,933.00 / $4,933.00	Facility		$2,409.41	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,324.77 / $2,546.17 / $3,671.18	Professional		$2,324.77	$2,546.17	$3,671.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $226.26 / $1,968.71 / $2,972.55	Professional		$226.26	$1,968.71	$2,972.55
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 $2,382.30 / $3,055.58 / $3,904.79	Professional		$2,382.30	$3,055.58	$3,904.79