Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,487.73 / $4,933.00 / $4,933.00	Facility		$2,487.73	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,619.69 / $2,487.73 / $2,583.42	Professional		$1,619.69	$2,487.73	$2,583.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,127.11 / $10,654.09 / $14,513.80	Facility		$9,127.11	$10,654.09	$14,513.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.23 / $2,497.35 / $4,444.47	Professional		$459.23	$2,497.35	$4,444.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,685.84 / $2,369.71 / $3,680.04	Professional		$1,685.84	$2,369.71	$3,680.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,065.14 / $4,933.00 / $4,933.00	Facility		$2,065.14	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,065.14 / $2,236.26 / $3,627.86	Professional		$2,065.14	$2,236.26	$3,627.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $203.33 / $1,422.86 / $2,345.68	Professional		$203.33	$1,422.86	$2,345.68
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 $2,059.77 / $2,475.75 / $3,230.06	Professional		$2,059.77	$2,475.75	$3,230.06