Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,783.25 / $4,933.00 / $4,933.00	Facility		$2,783.25	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,812.87 / $2,783.25 / $2,890.30	Professional		$1,812.87	$2,783.25	$2,890.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,167.54 / $11,850.62 / $16,055.71	Facility		$10,167.54	$11,850.62	$16,055.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $614.54 / $2,021.50 / $4,204.71	Professional		$614.54	$2,021.50	$4,204.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,885.77 / $2,650.68 / $4,119.05	Professional		$1,885.77	$2,650.68	$4,119.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,335.78 / $4,933.00 / $4,933.00	Facility		$2,335.78	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,335.78 / $2,500.28 / $3,339.93	Professional		$2,335.78	$2,500.28	$3,339.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.47 / $1,587.79 / $2,655.14	Professional		$207.47	$1,587.79	$2,655.14
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 $2,350.82 / $2,660.82 / $3,572.84	Professional		$2,350.82	$2,660.82	$3,572.84