Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,271.03 / $4,933.00 / $4,933.00	Facility		$2,271.03	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,634.06 / $2,051.34 / $2,271.03	Professional		$1,634.06	$2,051.34	$2,271.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,016.57 / $10,374.02 / $14,322.35	Facility		$7,016.57	$10,374.02	$14,322.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.87 / $1,720.08 / $2,943.45	Professional		$449.87	$1,720.08	$2,943.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,595.73 / $2,179.57 / $4,268.29	Professional		$1,595.73	$2,179.57	$4,268.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,849.64 / $4,933.00 / $4,933.00	Facility		$1,849.64	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,750.47 / $1,987.94 / $2,818.46	Professional		$1,750.47	$1,987.94	$2,818.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.47 / $1,515.60 / $2,270.40	Professional		$163.47	$1,515.60	$2,270.40
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 $1,868.37 / $2,384.07 / $3,279.10	Professional		$1,868.37	$2,384.07	$3,279.10