Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,087.55 / $4,933.00 / $4,933.00	Facility		$2,087.55	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,369.16 / $2,031.09 / $2,167.84	Professional		$1,369.16	$2,031.09	$2,167.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,631.95 / $8,957.67 / $12,136.22	Facility		$7,631.95	$8,957.67	$12,136.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.19 / $1,632.90 / $2,892.13	Professional		$364.19	$1,632.90	$2,892.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.66 / $1,834.26 / $3,418.12	Professional		$1,215.66	$1,834.26	$3,418.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,738.96 / $2,087.55 / $4,933.00	Facility		$1,738.96	$2,087.55	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,644.09 / $1,878.96 / $2,691.97	Professional		$1,644.09	$1,878.96	$2,691.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.32 / $1,175.27 / $1,948.09	Professional		$162.32	$1,175.27	$1,948.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $3,869.00 / $6,036.00	Facility		$1,244.00	$3,869.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,620.91 / $1,888.58 / $2,752.04	Professional		$1,620.91	$1,888.58	$2,752.04