Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,828.09 / $4,933.00 / $6,906.00	Facility		$2,828.09	$4,933.00	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,874.06 / $2,481.36 / $3,000.84	Professional		$1,874.06	$2,481.36	$3,000.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,153.47 / $12,054.92 / $16,643.00	Facility		$8,153.47	$12,054.92	$16,643.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.04 / $2,169.63 / $3,677.37	Professional		$562.04	$2,169.63	$3,677.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,902.18 / $2,716.24 / $5,294.62	Professional		$1,902.18	$2,716.24	$5,294.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,294.23 / $4,933.00 / $4,933.00	Facility		$2,294.23	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,206.92 / $2,522.19 / $3,971.54	Professional		$2,206.92	$2,522.19	$3,971.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.50 / $1,712.41 / $2,699.27	Professional		$193.50	$1,712.41	$2,699.27
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 $2,301.30 / $2,948.94 / $3,723.30	Professional		$2,301.30	$2,948.94	$3,723.30