Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,039.30 / $4,933.00 / $4,933.00	Facility		$2,039.30	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,434.48 / $2,039.30 / $2,039.30	Professional		$1,434.48	$2,039.30	$2,039.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,008.82 / $8,169.03 / $11,067.73	Facility		$7,008.82	$8,169.03	$11,067.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.55 / $2,367.90 / $4,617.41	Professional		$402.55	$2,367.90	$4,617.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,421.61 / $1,742.29 / $3,164.37	Professional		$1,421.61	$1,742.29	$3,164.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,409.81 / $4,933.00 / $4,933.00	Facility		$1,409.81	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,409.81 / $1,689.89 / $2,365.84	Professional		$1,409.81	$1,689.89	$2,365.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.09 / $1,381.32 / $2,081.75	Professional		$131.09	$1,381.32	$2,081.75
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 $1,610.52 / $1,929.66 / $2,523.79	Professional		$1,610.52	$1,929.66	$2,523.79