Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,314.71 / $4,933.00 / $4,933.00	Facility		$2,314.71	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,672.52 / $2,072.21 / $2,410.38	Professional		$1,672.52	$2,072.21	$2,410.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,634.68 / $10,252.62 / $14,081.76	Facility		$8,634.68	$10,252.62	$14,081.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.45 / $1,682.24 / $3,095.32	Professional		$480.45	$1,682.24	$3,095.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,678.40 / $2,235.86 / $4,435.83	Professional		$1,678.40	$2,235.86	$4,435.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,958.59 / $4,933.00 / $4,933.00	Facility		$1,958.59	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,784.26 / $2,015.87 / $2,837.05	Professional		$1,784.26	$2,015.87	$2,837.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.84 / $1,408.20 / $2,169.00	Professional		$133.84	$1,408.20	$2,169.00
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 $1,900.17 / $2,452.62 / $3,146.09	Professional		$1,900.17	$2,452.62	$3,146.09