Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,433.92 / $4,933.00 / $4,933.00	Facility		$2,433.92	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,670.07 / $2,198.58 / $2,433.92	Professional		$1,670.07	$2,198.58	$2,433.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,877.16 / $10,167.89 / $13,629.78	Facility		$6,877.16	$10,167.89	$13,629.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.92 / $1,834.99 / $3,019.31	Professional		$479.92	$1,834.99	$3,019.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,653.23 / $2,303.10 / $4,392.13	Professional		$1,653.23	$2,303.10	$4,392.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,954.76 / $4,933.00 / $4,933.00	Facility		$1,954.76	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,889.96 / $2,112.59 / $2,978.34	Professional		$1,889.96	$2,112.59	$2,978.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.22 / $1,615.57 / $2,443.27	Professional		$194.22	$1,615.57	$2,443.27
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 $1,941.29 / $2,484.35 / $3,175.11	Professional		$1,941.29	$2,484.35	$3,175.11