Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,920.09 / $4,933.00 / $4,933.00	Facility		$1,920.09	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,429.07 / $1,920.09 / $2,080.10	Professional		$1,429.07	$1,920.09	$2,080.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,763.77 / $9,062.66 / $12,345.83	Facility		$7,763.77	$9,062.66	$12,345.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.38 / $2,431.65 / $4,057.08	Professional		$413.38	$2,431.65	$4,057.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,164.83 / $1,896.02 / $3,346.79	Professional		$1,164.83	$1,896.02	$3,346.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,718.87 / $4,933.00 / $4,933.00	Facility		$1,718.87	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,718.87 / $1,819.06 / $2,466.73	Professional		$1,718.87	$1,819.06	$2,466.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $1,225.15 / $1,922.16	Professional		$137.12	$1,225.15	$1,922.16
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 $1,722.10 / $2,020.30 / $2,723.29	Professional		$1,722.10	$2,020.30	$2,723.29