Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,475.11 / $4,933.00 / $4,933.00	Facility		$2,475.11	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,616.47 / $2,475.11 / $2,570.31	Professional		$1,616.47	$2,475.11	$2,570.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,019.75 / $10,528.76 / $14,343.07	Facility		$9,019.75	$10,528.76	$14,343.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.91 / $2,881.82 / $4,538.87	Professional		$489.91	$2,881.82	$4,538.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,680.33 / $2,365.28 / $3,666.81	Professional		$1,680.33	$2,365.28	$3,666.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,075.96 / $4,933.00 / $4,933.00	Facility		$2,075.96	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,075.96 / $2,194.69 / $2,893.95	Professional		$2,075.96	$2,194.69	$2,893.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.91 / $1,381.87 / $2,332.70	Professional		$193.91	$1,381.87	$2,332.70
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 $2,066.37 / $2,369.10 / $3,269.16	Professional		$2,066.37	$2,369.10	$3,269.16