Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,562.02 / $4,933.00 / $4,933.00	Facility		$2,562.02	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,661.64 / $2,141.71 / $2,562.02	Professional		$1,661.64	$2,141.71	$2,562.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,669.31 / $9,860.60 / $13,613.52	Facility		$6,669.31	$9,860.60	$13,613.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.80 / $1,949.25 / $3,335.61	Professional		$509.80	$1,949.25	$3,335.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,687.64 / $2,389.40 / $4,737.92	Professional		$1,687.64	$2,389.40	$4,737.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,769.31 / $4,933.00 / $4,933.00	Facility		$1,769.31	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,769.31 / $2,122.17 / $3,126.56	Professional		$1,769.31	$2,122.17	$3,126.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.22 / $1,726.16 / $2,620.99	Professional		$194.22	$1,726.16	$2,620.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,869.00 / $5,525.00	Facility		$1,713.00	$3,869.00	$5,525.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.91 / $2,487.41 / $3,319.09	Professional		$1,949.91	$2,487.41	$3,319.09