Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,965.18 / $4,933.00 / $4,933.00	Facility		$2,965.18	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,058.92 / $2,676.80 / $2,965.18	Professional		$2,058.92	$2,676.80	$2,965.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,428.89 / $12,383.04 / $17,007.82	Facility		$10,428.89	$12,383.04	$17,007.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $583.54 / $2,252.64 / $3,878.82	Professional		$583.54	$2,252.64	$3,878.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,960.70 / $2,789.22 / $5,363.86	Professional		$1,960.70	$2,789.22	$5,363.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,407.75 / $4,933.00 / $4,933.00	Facility		$2,407.75	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,298.98 / $2,517.94 / $3,649.49	Professional		$2,298.98	$2,517.94	$3,649.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.50 / $1,779.05 / $2,825.87	Professional		$193.50	$1,779.05	$2,825.87
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 $2,400.98 / $3,042.10 / $3,909.20	Professional		$2,400.98	$3,042.10	$3,909.20