Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,642.49 / $4,933.00 / $4,933.00	Facility		$2,642.49	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,728.63 / $2,642.49 / $2,744.13	Professional		$1,728.63	$2,642.49	$2,744.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,502.37 / $9,924.83 / $13,520.35	Facility		$8,502.37	$9,924.83	$13,520.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.91 / $3,414.27 / $5,121.41	Professional		$613.91	$3,414.27	$5,121.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,788.78 / $2,513.12 / $3,906.00	Professional		$1,788.78	$2,513.12	$3,906.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,255.12 / $4,933.00 / $4,933.00	Facility		$2,255.12	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,255.12 / $2,374.82 / $3,173.94	Professional		$2,255.12	$2,374.82	$3,173.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.47 / $1,467.56 / $2,459.54	Professional		$207.47	$1,467.56	$2,459.54
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 $2,088.67 / $2,529.16 / $3,474.65	Professional		$2,088.67	$2,529.16	$3,474.65