Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,772.21 / $4,933.00 / $4,933.00	Facility		$2,772.21	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,912.24 / $2,503.35 / $2,772.21	Professional		$1,912.24	$2,503.35	$2,772.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,841.70 / $11,593.98 / $16,006.63	Facility		$7,841.70	$11,593.98	$16,006.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.79 / $2,087.46 / $3,572.13	Professional		$567.79	$2,087.46	$3,572.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,833.54 / $2,608.10 / $4,980.29	Professional		$1,833.54	$2,608.10	$4,980.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,232.23 / $4,933.00 / $4,933.00	Facility		$2,232.23	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,150.40 / $2,355.19 / $3,409.83	Professional		$2,150.40	$2,355.19	$3,409.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.22 / $1,832.66 / $2,776.26	Professional		$194.22	$1,832.66	$2,776.26
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 $2,158.25 / $2,726.21 / $3,566.49	Professional		$2,158.25	$2,726.21	$3,566.49