Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,246.26 / $4,933.00 / $4,933.00	Facility		$2,246.26	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,566.79 / $1,996.60 / $2,511.11	Professional		$1,566.79	$1,996.60	$2,511.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,270.06 / $9,270.29 / $12,426.58	Facility		$6,270.06	$9,270.29	$12,426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.09 / $2,080.37 / $2,990.53	Professional		$494.09	$2,080.37	$2,990.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,634.88 / $2,170.12 / $4,139.08	Professional		$1,634.88	$2,170.12	$4,139.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,822.68 / $4,933.00 / $4,933.00	Facility		$1,822.68	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,743.32 / $1,934.32 / $2,912.88	Professional		$1,743.32	$1,934.32	$2,912.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.07 / $1,329.49 / $2,124.08	Professional		$163.07	$1,329.49	$2,124.08
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 $1,825.92 / $2,308.55 / $2,928.74	Professional		$1,825.92	$2,308.55	$2,928.74