Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,091.01 / $4,933.00 / $4,933.00	Facility		$2,091.01	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,369.15 / $2,091.01 / $2,171.44	Professional		$1,369.15	$2,091.01	$2,171.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,673.98 / $8,944.29 / $12,118.10	Facility		$7,673.98	$8,944.29	$12,118.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.48 / $2,057.17 / $3,840.04	Professional		$414.48	$2,057.17	$3,840.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,421.57 / $2,003.43 / $3,103.28	Professional		$1,421.57	$2,003.43	$3,103.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,725.24 / $4,933.00 / $4,933.00	Facility		$1,725.24	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,725.24 / $1,855.60 / $2,508.61	Professional		$1,725.24	$1,855.60	$2,508.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.32 / $1,171.59 / $1,946.74	Professional		$162.32	$1,171.59	$1,946.74
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 $1,580.96 / $1,991.75 / $2,693.76	Professional		$1,580.96	$1,991.75	$2,693.76