Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,515.33 / $4,933.00 / $4,933.00	Facility		$2,515.33	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,641.89 / $2,515.33 / $2,612.08	Professional		$1,641.89	$2,515.33	$2,612.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,292.69 / $10,830.95 / $14,674.22	Facility		$9,292.69	$10,830.95	$14,674.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.49 / $1,900.37 / $3,251.97	Professional		$555.49	$1,900.37	$3,251.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,704.31 / $2,395.05 / $3,720.92	Professional		$1,704.31	$2,395.05	$3,720.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,112.42 / $4,933.00 / $4,933.00	Facility		$2,112.42	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,112.42 / $2,260.77 / $3,020.68	Professional		$2,112.42	$2,260.77	$3,020.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $203.33 / $1,427.07 / $2,373.33	Professional		$203.33	$1,427.07	$2,373.33
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 $2,139.46 / $2,402.69 / $3,265.94	Professional		$2,139.46	$2,402.69	$3,265.94