Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,049.84 / $4,933.00 / $4,933.00	Facility		$2,049.84	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,337.98 / $2,049.84 / $2,128.67	Professional		$1,337.98	$2,049.84	$2,128.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,404.18 / $8,642.91 / $11,774.02	Facility		$7,404.18	$8,642.91	$11,774.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.22 / $1,658.25 / $2,653.20	Professional		$453.22	$1,658.25	$2,653.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,390.65 / $1,957.19 / $3,036.94	Professional		$1,390.65	$1,957.19	$3,036.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,718.59 / $4,933.00 / $4,933.00	Facility		$1,718.59	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,718.59 / $1,842.15 / $2,499.98	Professional		$1,718.59	$1,842.15	$2,499.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.32 / $1,157.61 / $1,910.40	Professional		$162.32	$1,157.61	$1,910.40
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 $1,720.71 / $1,982.80 / $2,707.26	Professional		$1,720.71	$1,982.80	$2,707.26