Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,319.98 / $4,933.00 / $4,933.00	Facility		$2,319.98	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,590.11 / $2,081.84 / $2,319.98	Professional		$1,590.11	$2,081.84	$2,319.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,553.94 / $9,690.02 / $12,989.20	Facility		$6,553.94	$9,690.02	$12,989.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.81 / $1,779.21 / $3,088.45	Professional		$474.81	$1,779.21	$3,088.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,579.27 / $2,187.06 / $4,210.16	Professional		$1,579.27	$2,187.06	$4,210.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,871.09 / $4,933.00 / $4,933.00	Facility		$1,871.09	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,803.56 / $2,008.59 / $2,844.61	Professional		$1,803.56	$2,008.59	$2,844.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.07 / $1,386.52 / $2,191.39	Professional		$163.07	$1,386.52	$2,191.39
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 $1,844.63 / $2,368.55 / $3,036.56	Professional		$1,844.63	$2,368.55	$3,036.56