Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,423.56 / $4,933.00 / $4,933.00	Facility		$2,423.56	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,669.83 / $2,179.69 / $2,423.56	Professional		$1,669.83	$2,179.69	$2,423.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,801.10 / $10,055.44 / $13,882.52	Facility		$6,801.10	$10,055.44	$13,882.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.89 / $1,823.98 / $3,367.34	Professional		$500.89	$1,823.98	$3,367.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,601.78 / $2,292.01 / $4,401.62	Professional		$1,601.78	$2,292.01	$4,401.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,944.46 / $4,933.00 / $4,933.00	Facility		$1,944.46	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,882.77 / $2,062.08 / $2,972.17	Professional		$1,882.77	$2,062.08	$2,972.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.22 / $1,585.52 / $2,397.36	Professional		$194.22	$1,585.52	$2,397.36
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 $1,923.45 / $2,472.14 / $3,118.61	Professional		$1,923.45	$2,472.14	$3,118.61