Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,576.07 / $4,933.00 / $4,933.00	Facility		$2,576.07	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,676.72 / $2,576.07 / $2,675.15	Professional		$1,676.72	$2,576.07	$2,675.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,415.09 / $10,990.25 / $14,971.74	Facility		$9,415.09	$10,990.25	$14,971.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.36 / $1,868.98 / $3,887.48	Professional		$508.36	$1,868.98	$3,887.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,743.93 / $2,449.94 / $3,812.09	Professional		$1,743.93	$2,449.94	$3,812.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,630.74 / $4,933.00 / $4,933.00	Facility		$1,630.74	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,630.74 / $2,030.79 / $2,965.36	Professional		$1,630.74	$2,030.79	$2,965.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.47 / $1,457.08 / $2,430.59	Professional		$207.47	$1,457.08	$2,430.59
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 $1,883.64 / $2,358.67 / $3,332.74	Professional		$1,883.64	$2,358.67	$3,332.74