Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,749.90 / $4,933.00 / $4,933.00	Facility		$2,749.90	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,879.22 / $2,460.63 / $2,749.90	Professional		$1,879.22	$2,460.63	$2,749.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,789.70 / $11,517.09 / $15,438.34	Facility		$7,789.70	$11,517.09	$15,438.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.62 / $1,987.57 / $3,498.11	Professional		$540.62	$1,987.57	$3,498.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,663.42 / $2,581.21 / $4,865.02	Professional		$1,663.42	$2,581.21	$4,865.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,221.23 / $4,933.00 / $4,933.00	Facility		$2,221.23	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,138.56 / $2,342.23 / $3,376.56	Professional		$2,138.56	$2,342.23	$3,376.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.50 / $1,646.56 / $2,591.69	Professional		$193.50	$1,646.56	$2,591.69
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 $2,128.76 / $2,814.40 / $3,555.44	Professional		$2,128.76	$2,814.40	$3,555.44