Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,609.00 / $4,933.00 / $4,933.00	Facility		$2,609.00	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,701.99 / $2,609.00 / $2,709.34	Professional		$1,701.99	$2,609.00	$2,709.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,538.71 / $11,134.56 / $15,168.34	Facility		$9,538.71	$11,134.56	$15,168.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $515.98 / $2,110.04 / $3,376.05	Professional		$515.98	$2,110.04	$3,376.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,769.77 / $2,489.65 / $3,864.42	Professional		$1,769.77	$2,489.65	$3,864.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,185.51 / $4,933.00 / $4,933.00	Facility		$2,185.51	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,185.51 / $2,344.64 / $3,130.54	Professional		$2,185.51	$2,344.64	$3,130.54
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 $2,211.96 / $2,593.04 / $3,374.58	Professional		$2,211.96	$2,593.04	$3,374.58