Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,259.12 / $4,933.00 / $4,933.00	Facility		$2,259.12	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,542.81 / $2,032.94 / $2,259.12	Professional		$1,542.81	$2,032.94	$2,259.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,633.67 / $9,064.04 / $12,449.27	Facility		$7,633.67	$9,064.04	$12,449.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.46 / $1,703.25 / $3,013.43	Professional		$445.46	$1,703.25	$3,013.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,546.39 / $2,139.81 / $4,090.37	Professional		$1,546.39	$2,139.81	$4,090.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,812.25 / $4,933.00 / $4,933.00	Facility		$1,812.25	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,757.09 / $1,924.43 / $2,766.14	Professional		$1,757.09	$1,924.43	$2,766.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.07 / $1,359.87 / $2,133.21	Professional		$163.07	$1,359.87	$2,133.21
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 $1,830.97 / $2,342.50 / $2,952.52	Professional		$1,830.97	$2,342.50	$2,952.52