Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,796.17 / $4,933.00 / $4,933.00	Facility		$2,796.17	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,901.80 / $2,539.83 / $2,796.17	Professional		$1,901.80	$2,539.83	$2,796.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,443.71 / $11,005.55 / $15,194.24	Facility		$7,443.71	$11,005.55	$15,194.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.77 / $2,043.28 / $3,636.38	Professional		$555.77	$2,043.28	$3,636.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,842.75 / $2,606.65 / $5,166.64	Professional		$1,842.75	$2,606.65	$5,166.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,219.73 / $4,933.00 / $4,933.00	Facility		$2,219.73	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,181.84 / $2,389.64 / $3,414.48	Professional		$2,181.84	$2,389.64	$3,414.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.22 / $1,879.54 / $2,850.79	Professional		$194.22	$1,879.54	$2,850.79
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 $2,173.64 / $2,717.98 / $3,544.32	Professional		$2,173.64	$2,717.98	$3,544.32