Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $4,933.00 / $4,933.00	Facility		$2,126.00	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,386.61 / $2,126.00 / $2,207.77	Professional		$1,386.61	$2,126.00	$2,207.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,414.54 / $5,153.10 / $7,019.93	Facility		$4,414.54	$5,153.10	$7,019.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.71 / $2,194.60 / $3,801.67	Professional		$392.71	$2,194.60	$3,801.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,441.97 / $2,028.89 / $3,149.23	Professional		$1,441.97	$2,028.89	$3,149.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,765.20 / $4,933.00 / $4,933.00	Facility		$1,765.20	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,765.20 / $1,885.86 / $3,099.28	Professional		$1,765.20	$1,885.86	$3,099.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.76 / $1,356.99 / $2,116.11	Professional		$194.76	$1,356.99	$2,116.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,690.73 / $2,037.19 / $2,755.22	Professional		$1,690.73	$2,037.19	$2,755.22