Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,307.51 / $4,933.00 / $4,933.00	Facility		$2,307.51	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,690.90 / $2,307.51 / $2,307.51	Professional		$1,690.90	$2,307.51	$2,307.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,567.44 / $10,000.78 / $13,623.81	Facility		$8,567.44	$10,000.78	$13,623.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.24 / $2,021.68 / $2,998.28	Professional		$458.24	$2,021.68	$2,998.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,674.68 / $2,103.03 / $3,713.41	Professional		$1,674.68	$2,103.03	$3,713.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,848.23 / $4,933.00 / $4,933.00	Facility		$1,848.23	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,848.23 / $2,041.00 / $2,969.47	Professional		$1,848.23	$2,041.00	$2,969.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.18 / $1,559.75 / $2,341.07	Professional		$131.18	$1,559.75	$2,341.07
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 $2,050.67 / $2,499.73 / $3,345.48	Professional		$2,050.67	$2,499.73	$3,345.48