Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,139.71 / $4,933.00 / $4,933.00	Facility		$2,139.71	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,462.93 / $1,938.61 / $2,139.71	Professional		$1,462.93	$1,938.61	$2,139.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,022.92 / $8,904.90 / $12,294.09	Facility		$6,022.92	$8,904.90	$12,294.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.10 / $1,554.94 / $2,767.30	Professional		$444.10	$1,554.94	$2,767.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,450.85 / $2,027.89 / $3,825.59	Professional		$1,450.85	$2,027.89	$3,825.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,709.79 / $4,933.00 / $4,933.00	Facility		$1,709.79	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,662.95 / $1,821.33 / $2,615.53	Professional		$1,662.95	$1,821.33	$2,615.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.88 / $1,261.27 / $2,023.71	Professional		$161.88	$1,261.27	$2,023.71
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 $1,738.81 / $2,166.71 / $2,773.54	Professional		$1,738.81	$2,166.71	$2,773.54