Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,138.02 / $4,933.00 / $4,933.00	Facility		$2,138.02	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,455.72 / $1,783.61 / $2,138.02	Professional		$1,455.72	$1,783.61	$2,138.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,945.58 / $8,790.54 / $11,783.48	Facility		$5,945.58	$8,790.54	$11,783.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.01 / $1,784.25 / $2,761.21	Professional		$422.01	$1,784.25	$2,761.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,468.39 / $2,026.74 / $3,864.98	Professional		$1,468.39	$2,026.74	$3,864.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,700.65 / $4,933.00 / $4,933.00	Facility		$1,700.65	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,659.31 / $1,822.58 / $2,578.19	Professional		$1,659.31	$1,822.58	$2,578.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.75 / $1,291.18 / $2,020.08	Professional		$138.75	$1,291.18	$2,020.08
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 $1,706.05 / $2,162.35 / $2,831.68	Professional		$1,706.05	$2,162.35	$2,831.68