Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,079.53 / $4,933.00 / $4,933.00	Facility		$2,079.53	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,525.30 / $2,079.53 / $2,079.53	Professional		$1,525.30	$2,079.53	$2,079.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,781.62 / $9,083.49 / $12,374.22	Facility		$7,781.62	$9,083.49	$12,374.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.15 / $1,828.22 / $2,607.08	Professional		$463.15	$1,828.22	$2,607.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.63 / $1,879.90 / $3,349.35	Professional		$1,513.63	$1,879.90	$3,349.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,650.77 / $4,933.00 / $4,933.00	Facility		$1,650.77	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,650.77 / $1,844.83 / $2,627.99	Professional		$1,650.77	$1,844.83	$2,627.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.47 / $1,288.53 / $2,017.17	Professional		$103.47	$1,288.53	$2,017.17
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 $1,785.10 / $2,170.84 / $2,789.26	Professional		$1,785.10	$2,170.84	$2,789.26