Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,619.02 / $4,933.00 / $4,933.00	Facility		$2,619.02	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.38 / $2,619.02 / $2,619.02	Professional		$1,659.38	$2,619.02	$2,619.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,104.29 / $10,611.36 / $14,376.71	Facility		$9,104.29	$10,611.36	$14,376.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.29 / $2,607.16 / $3,553.47	Professional		$525.29	$2,607.16	$3,553.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.93 / $2,213.98 / $4,083.52	Professional		$1,445.93	$2,213.98	$4,083.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,087.50 / $4,933.00 / $4,933.00	Facility		$2,087.50	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,087.50 / $2,338.00 / $2,982.29	Professional		$2,087.50	$2,338.00	$2,982.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.32 / $1,602.63 / $2,522.91	Professional		$162.32	$1,602.63	$2,522.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,104.92 / $2,532.19 / $3,287.07	Professional		$2,104.92	$2,532.19	$3,287.07