Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,014.41 / $4,933.00 / $4,933.00	Facility		$2,014.41	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,320.44 / $2,014.41 / $2,091.89	Professional		$1,320.44	$2,014.41	$2,091.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,300.06 / $8,521.37 / $11,608.45	Facility		$7,300.06	$8,521.37	$11,608.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.71 / $2,028.66 / $3,408.14	Professional		$416.71	$2,028.66	$3,408.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,370.58 / $1,931.96 / $2,992.45	Professional		$1,370.58	$1,931.96	$2,992.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,675.02 / $4,933.00 / $4,933.00	Facility		$1,675.02	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,675.02 / $1,811.17 / $2,932.72	Professional		$1,675.02	$1,811.17	$2,932.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.32 / $1,154.55 / $1,912.55	Professional		$162.32	$1,154.55	$1,912.55
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 $1,677.95 / $1,959.11 / $2,652.20	Professional		$1,677.95	$1,959.11	$2,652.20