Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,583.27 / $4,933.00 / $4,933.00	Facility		$2,583.27	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,777.71 / $2,319.23 / $2,583.27	Professional		$1,777.71	$2,319.23	$2,583.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,324.56 / $10,829.39 / $14,951.03	Facility		$7,324.56	$10,829.39	$14,951.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $507.85 / $1,960.48 / $3,286.13	Professional		$507.85	$1,960.48	$3,286.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,759.40 / $2,453.03 / $4,728.99	Professional		$1,759.40	$2,453.03	$4,728.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,088.71 / $4,933.00 / $4,933.00	Facility		$2,088.71	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,005.97 / $2,236.88 / $3,165.40	Professional		$2,005.97	$2,236.88	$3,165.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.22 / $1,706.34 / $2,594.86	Professional		$194.22	$1,706.34	$2,594.86
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 $2,072.42 / $2,645.42 / $3,435.44	Professional		$2,072.42	$2,645.42	$3,435.44