Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,493.82 / $4,933.00 / $4,933.00	Facility		$2,493.82	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,634.37 / $2,493.82 / $2,589.73	Professional		$1,634.37	$2,493.82	$2,589.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,003.46 / $10,567.43 / $14,317.18	Facility		$9,003.46	$10,567.43	$14,317.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.14 / $1,816.70 / $3,342.73	Professional		$494.14	$1,816.70	$3,342.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,453.06 / $2,186.73 / $4,075.11	Professional		$1,453.06	$2,186.73	$4,075.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,080.61 / $3,263.05 / $4,933.00	Facility		$2,080.61	$3,263.05	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,962.16 / $2,242.46 / $3,239.17	Professional		$1,962.16	$2,242.46	$3,239.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.91 / $1,411.08 / $2,363.26	Professional		$193.91	$1,411.08	$2,363.26
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 $1,992.02 / $2,314.64 / $3,182.64	Professional		$1,992.02	$2,314.64	$3,182.64