Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,597.03 / $4,933.00 / $4,933.00	Facility		$2,597.03	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,696.45 / $2,597.03 / $2,696.92	Professional		$1,696.45	$2,597.03	$2,696.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,421.59 / $10,997.84 / $14,982.08	Facility		$9,421.59	$10,997.84	$14,982.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $709.10 / $4,020.01 / $6,959.41	Professional		$709.10	$4,020.01	$6,959.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,760.78 / $2,475.10 / $3,846.30	Professional		$1,760.78	$2,475.10	$3,846.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,177.17 / $4,933.00 / $4,933.00	Facility		$2,177.17	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,177.17 / $2,333.48 / $3,721.08	Professional		$2,177.17	$2,333.48	$3,721.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.47 / $1,487.03 / $2,474.63	Professional		$207.47	$1,487.03	$2,474.63
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 $2,164.29 / $2,479.36 / $3,333.66	Professional		$2,164.29	$2,479.36	$3,333.66