Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,069.16 / $4,933.00 / $4,933.00	Facility		$2,069.16	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,413.98 / $1,735.32 / $2,069.16	Professional		$1,413.98	$1,735.32	$2,069.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,829.00 / $8,618.19 / $11,898.26	Facility		$5,829.00	$8,618.19	$11,898.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.64 / $1,577.47 / $2,596.05	Professional		$408.64	$1,577.47	$2,596.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,401.78 / $1,979.88 / $3,719.16	Professional		$1,401.78	$1,979.88	$3,719.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,651.86 / $4,933.00 / $4,933.00	Facility		$1,651.86	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,605.61 / $1,764.11 / $2,531.86	Professional		$1,605.61	$1,764.11	$2,531.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.75 / $1,206.89 / $1,959.58	Professional		$138.75	$1,206.89	$1,959.58
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 $1,679.97 / $2,089.38 / $2,679.15	Professional		$1,679.97	$2,089.38	$2,679.15