Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,044.01 / $4,933.00 / $6,853.00	Facility		$2,044.01	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,483.12 / $2,044.01 / $2,119.71	Professional		$1,483.12	$2,044.01	$2,119.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,825.20 / $4,458.39 / $6,040.42	Facility		$3,825.20	$4,458.39	$6,040.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.77 / $2,211.67 / $3,492.10	Professional		$395.77	$2,211.67	$3,492.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,140.10 / $1,517.17 / $2,893.59	Professional		$1,140.10	$1,517.17	$2,893.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,470.92 / $4,933.00 / $6,853.00	Facility		$1,470.92	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,470.92 / $1,717.60 / $2,433.64	Professional		$1,470.92	$1,717.60	$2,433.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.60 / $1,070.42 / $1,744.67	Professional		$170.60	$1,070.42	$1,744.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,500.00 / $10,556.00	Facility		$2,500.00	$7,500.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,496.78 / $1,737.75 / $2,384.46	Professional		$1,496.78	$1,737.75	$2,384.46