Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,113.39 / $4,933.00 / $4,933.00	Facility		$2,113.39	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,450.40 / $1,899.67 / $2,208.81	Professional		$1,450.40	$1,899.67	$2,208.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,960.80 / $8,813.06 / $11,813.65	Facility		$5,960.80	$8,813.06	$11,813.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.25 / $1,913.73 / $2,724.65	Professional		$437.25	$1,913.73	$2,724.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,437.35 / $2,000.96 / $3,835.18	Professional		$1,437.35	$2,000.96	$3,835.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,703.36 / $4,933.00 / $4,933.00	Facility		$1,703.36	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,640.65 / $1,860.59 / $2,659.25	Professional		$1,640.65	$1,860.59	$2,659.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $1,266.28 / $1,996.96	Professional		$133.18	$1,266.28	$1,996.96
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 $1,719.17 / $2,177.58 / $2,781.33	Professional		$1,719.17	$2,177.58	$2,781.33