Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,978.07 / $4,933.00 / $4,933.00	Facility		$1,978.07	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,401.19 / $1,978.07 / $2,060.48	Professional		$1,401.19	$1,978.07	$2,060.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,219.28 / $9,594.37 / $13,070.18	Facility		$8,219.28	$9,594.37	$13,070.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.00 / $1,470.40 / $2,648.62	Professional		$421.00	$1,470.40	$2,648.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,465.55 / $1,897.13 / $3,401.01	Professional		$1,465.55	$1,897.13	$3,401.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,750.51 / $4,933.00 / $4,933.00	Facility		$1,750.51	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,750.51 / $1,833.84 / $2,523.41	Professional		$1,750.51	$1,833.84	$2,523.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $227.81 / $1,346.17 / $2,061.28	Professional		$227.81	$1,346.17	$2,061.28
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 $1,816.39 / $2,179.67 / $2,914.31	Professional		$1,816.39	$2,179.67	$2,914.31