Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,232.61 / $4,933.00 / $4,933.00	Facility		$2,232.61	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,719.22 / $2,232.61 / $2,232.61	Professional		$1,719.22	$2,232.61	$2,232.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,323.40 / $9,715.92 / $13,235.75	Facility		$8,323.40	$9,715.92	$13,235.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.21 / $1,799.12 / $2,910.76	Professional		$497.21	$1,799.12	$2,910.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,624.46 / $2,027.06 / $3,594.23	Professional		$1,624.46	$2,027.06	$3,594.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,789.16 / $4,933.00 / $4,933.00	Facility		$1,789.16	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,789.16 / $1,980.56 / $2,885.71	Professional		$1,789.16	$1,980.56	$2,885.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.69 / $1,500.18 / $2,266.19	Professional		$164.69	$1,500.18	$2,266.19
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 $1,952.10 / $2,332.23 / $2,957.16	Professional		$1,952.10	$2,332.23	$2,957.16