Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,340.65 / $4,933.00 / $4,933.00	Facility		$2,340.65	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,596.13 / $1,967.59 / $2,340.65	Professional		$1,596.13	$1,967.59	$2,340.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,519.75 / $9,639.46 / $12,921.43	Facility		$6,519.75	$9,639.46	$12,921.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.01 / $1,887.43 / $3,040.80	Professional		$480.01	$1,887.43	$3,040.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,642.22 / $2,217.53 / $4,239.02	Professional		$1,642.22	$2,217.53	$4,239.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,878.69 / $4,933.00 / $4,933.00	Facility		$1,878.69	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,816.95 / $1,994.79 / $2,865.09	Professional		$1,816.95	$1,994.79	$2,865.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.07 / $1,392.91 / $2,218.60	Professional		$163.07	$1,392.91	$2,218.60
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 $1,859.68 / $2,412.06 / $3,260.48	Professional		$1,859.68	$2,412.06	$3,260.48