Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,723.70 / $4,933.00 / $4,933.00	Facility		$2,723.70	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,784.30 / $2,723.70 / $3,203.76	Professional		$1,784.30	$2,723.70	$3,203.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,919.45 / $11,642.53 / $15,773.77	Facility		$9,919.45	$11,642.53	$15,773.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.34 / $1,978.54 / $3,418.92	Professional		$522.34	$1,978.54	$3,418.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,588.35 / $2,378.28 / $4,440.05	Professional		$1,588.35	$2,378.28	$4,440.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,280.78 / $2,723.70 / $4,933.00	Facility		$2,280.78	$2,723.70	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,140.79 / $2,446.62 / $3,571.24	Professional		$2,140.79	$2,446.62	$3,571.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.22 / $1,543.81 / $2,570.03	Professional		$207.22	$1,543.81	$2,570.03
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,327.00	Facility		$850.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,152.39 / $2,509.98 / $3,630.01	Professional		$2,152.39	$2,509.98	$3,630.01