Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,731.16 / $4,933.00 / $4,933.00	Facility		$2,731.16	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,779.55 / $2,731.16 / $2,836.21	Professional		$1,779.55	$2,731.16	$2,836.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,951.98 / $11,616.96 / $15,825.49	Facility		$9,951.98	$11,616.96	$15,825.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $539.60 / $1,983.83 / $3,530.58	Professional		$539.60	$1,983.83	$3,530.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,850.81 / $2,602.05 / $4,041.89	Professional		$1,850.81	$2,602.05	$4,041.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,286.78 / $4,933.00 / $4,933.00	Facility		$2,286.78	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,286.78 / $2,453.16 / $3,573.62	Professional		$2,286.78	$2,453.16	$3,573.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.47 / $1,543.65 / $2,592.49	Professional		$207.47	$1,543.65	$2,592.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $4,056.00 / $6,036.00	Facility		$1,820.00	$4,056.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,340.07 / $2,605.81 / $3,592.25	Professional		$2,340.07	$2,605.81	$3,592.25